WnScroll
                          File Browser for Windows

   Please remit to:            Domains
                               1317 W Keim Dr
                               Phoenix AZ. 85013     (602) 246-6876
                               

   WnScroll v1.0 Registration. Users ______ @ $14.95 ea. =  $______:__


   WnScroll v1.0 on a disk  (includes Registration)

     Please specify disk size & qty. ____ 5.25"   ____3.5"

                         Total Disks ______ @ $16.95 ea. =  $______:__


   Overseas orders add shipping fee    $6.00              + $______:___

   Arizona Residents Add 6.7% Sales Tax                   + $______:___

                                          Total Payment: $_________:___

                 Please note: PAYMENT MUST BE IN US DOLLARS .

 NOTE:  Domains offers site licenses and quantity pricing.
        Please call or write for information.


                     User Registration  WnScroll ver. 1.0

                                                   Date:___/__/_19___

        Name:  ______________________________________________________

     Company:  ______________________________________________________

     Address:  ______________________________________________________

               ______________________________________________________

        City:  ____________________________State:_______ZIP__________

                  (if outside USA)   Country:________________________

       Phone:  (______)_________-__________________Ext:______________



    Enclosed: $_________:____    Check____        M.O.____


                              LIMIT OF LIABILITY

     WnScroll is distributed As Is.
     The author and Domains disclaims all warranties,express or implied,
     and will assume no liability for damages arising from the use of
     this product or as a consequence of its use.