D-10 CONTROL 1.1
        --------------------------
        Midieval Software
        P.O. Box 902
        North Bay, Ontario
        CANADA P1B 8K1
        --------------------------


        Please check one of the following:

        [ ] Registration ($33 US/$38 CDN)

        [ ] Registraton + Disk + Printed Documentation ($40 US/$46 CDN)
            Ontario Residents add 8% sales tax (Total Cost $49.68 CDN)
            Diskette type (please check one): [ ] 5.25"   [ ] 3.5"


        NAME:
        ____________________________________________________________

        ADDRESS:
        ___________________________________________________________

        ___________________________________________________________

        ___________________________________________________________

        PHONE: _________________________________


        Where did you get your copy of D-10 Control?

        ___________________________________________________

        Comments/Suggestions

        _________________________________________________________________

        _________________________________________________________________

        _________________________________________________________________

        _________________________________________________________________

        _________________________________________________________________

        _________________________________________________________________


        Thank you for registering.