
Make all checks / send all correspondence to:

                          Dennis Moon
                          4201 Autumn Lake Dr.
                          Buford, GA  30518




____ DIS Registration ........................ @ $ 15.00 ea   $ ______

____ USA shipping ............................ @ $  3.00 ea.  $ ______

____ Outside USA and Canada shipping ......... @ $  5.00 ea.  $ ______


                                             Total (U.S.Funds) $ ______
                                             drawn on U.S.Bank

Please print:


Name: _______________________________________________________________

Company _____________________________________________________________

Address: ____________________________________________________________

City: _______________________________________________________________

State: ____________________________  Zip Code:_______________________

Day Phone: _________________________ Eve: ___________________________

DIS Version Number: ________________


I acquired DIS from
        [ ] - Friend
        [ ] - Computer Club
        [ ] - Electronic BBS
        [ ] - USENET  (UUCP)
        [ ] - Other - Please Specify ________________________________


We would appreciate any input you would care to give concerning DIS.
If you have any ideas or comments that would make DIS a better
program, then please let us know.

Comments and / or suggestions:
____________________________________________________________________

____________________________________________________________________

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