                     WEBXBASE REGISTRATION FORM
                     ==========================

NAME :    _____________________________________________

ADDRESS : _____________________________________________

          _____________________________________________

          _____________________________________________

CITY :    _____________________________________________

STATE :   _____________________ ZIP : _________________

COUNTRY :  ____________________________________________

PHONE :    ___________________ FAX : __________________

E-MAIL :   ____________________________________________

URL    :   ____________________________________________

SIGNATURE :



Registration fee is only 21$ (Twenty one US Dollars). Payment 
should be done by  International  Mail  Order or  Bank Draft,
addressed to the address below.

Don't forget to fill in this blank form and send it with your
Mail Order/ Bank Draft notice to :

Yuniar Maladewi
Jl. Warga No.36, Pejaten Barat, Pasar Minggu
JAKARTA 12510
INDONESIA

You can  also send the form by an  e-mail,  but  it  is still
necessary  to  send  your  Bank  Draft Notice to proccess the
registration.

Thank you for supporting Shareware Concept !