LsrPrint 2.1 REGISTRATION FORM

When you register you will receive a license (signed by the
author) and a serial number entitling you to all future releases of
LsrPrint.  You will never have to pay an "update" charge.

Registered users will be given priority when I respond to messages
sent via mail or left on the telephone.

    Send to:            Al Albanese
                        60 Tarn Drive
                        Morris Plains, NJ 07950
                        (201) 457-2859 (9:00-17:00 EST)


Name (title)       _____________________________________________________

(Company name)     _____________________________________________________

Address            _____________________________________________________

City, State, Zip   _____________________________________________________


(Please remit U.S. funds only, check or money order on U.S. bank)

Single user license is $15.00                             $ ____________

Include the View program $10.00                           $ ____________

Current release on diskette add $5.00 handling charge     $ ____________
                  Check format: 5.25" ____ 3.5" ____

Registered users may order diskette only.  Serial No. __________

Multi-user (site) license schedule:

                              LsrPrint    LsrPrint & View
            1-10    copies   $15.00 ea.     $25.00 ea.
            11-49   copies    12.00 ea.      20.00 ea.
            50-99   copies    10.00 ea.      18.00 ea.
            100+    copies     7.00 ea.      15.00 ea.    $ ____________

When 11 or more copies are ordered, one diskette will be included at no
extra charge.  User may make copies for machines that are licensed.

                                                Total     $ ____________




How did you obtain LsrPrint?  (Please give name and phone number of BBS)

________________________________________________________________________

________________________________________________________________________


Comments (greatly appreciated) _________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________


Thank you, and I hope you enjoy LsrPrint.