Sifter Registration Form -		    Date:_____/_____/______

Cost: $20 US (email delivery)
      $23 US (snailmail to U.S. addresses) $24 US (outside U.S.)

Send To:	Larry Diehl
		P.O. Box 957344
		Hoffman Estates, IL 60195-7344

Name:__________________________________________________

Address:_______________________________________________

City:___________________________ State:________________ 

*Zip:______________ Country:___________________________ 

*Email:______________@_________________________________
		(Please be sure this is legible!!!)
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___ 16 bit	*Operating System:_____________________

___ 32 bit	CPU:_____________  RAM:________________

Payment Method: ___Cash  ___Check  ___Money Order  
	___Visa  ___Mastercard  ___American Express

C.C. Number___________________________ Exp. Date____/_____

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NOTE CONCERNING PAYMENT METHOD: As you may or may not be aware, there
is a per transaction cost for processing credit card orders.  This is
bad for me, but good for you as it's convienent and quick.  Cash,
check or money order transactions are better for me, but slow and
much less convienent for you.  Those of you who endure the non-credit
card method, deserve some form of compensation.  So, for all non-
credit card orders, I offer the following: 1)An extra 30 days of free
Sifter updates and 2)Up to 3 photos scanned for free (enclose SASE
for original(s) return).  Photo subject matter irrelevant, complete
confidentiallity gauranteed.
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How did you learn of Sifter?:_________________________________________

Comments, suggestions or requests:____________________________________

______________________________________________________________________

* Required Information.