                             
                             
                             REGISTRATION FORM

 Name: ______________________________________________________________

 Company name: ______________________________________________________

 Address: ___________________________________________________________

          ___________________________________________________________

    City: ___________________________ State ____________ Zip ________

    Telephone: (____)____________   (Work)

    Telephone: (____)____________   (Home)

 Please provide us with some additional information so we may better 
 serve your needs.

 Did you download this from a BBS?   _____ Internet? ______
 
 If you downloaded this from a BBS what is the telephone number of the
 BBS? (____)_________________
 
 Did you find all the files in the download? ____

 Did the help files provide enough information? ____

 What version do you currently have? ______________  
 
 Util1    ___ x $20.00 (U.S.)  =  _______________

                         Total:   _______________

                   Disk type: 3.5" ___  5.25" ___

 Send check or money order to:    Eugene Derbin
                                  1979G N.W. 4th. Ave.
                                  Boca Raton, Fl. 33432
 
 Thank you for supporting shareware programmers!


                               DISCLAIMER

 Eugene Derbin hereby disclaims all warranties relating to this software,  
 whether express or implied, including without limitation any implied 
 warranties of merchantability or fitness for a particular purpose. We will 
 not be liable for any special, incidental, consequential, indirect or 
 similar damages due to loss of data or any other reason, even if we have
 been advised of the possibility of such damages. In no event shall our 
 liability for any damages ever exceed the price paid for the license to 
 use this software, regardless of the form of the claim. The person using the 
 software bears all risk as to the quality and performance of the software.
