    To:
	David Aylott (daylott@bigfoot.com)
	2/35 Bertram Street
	Elsternwick VIC 3185
	Australia

    From (Please PRINT):

                  Name: __________________________________
 
               Company: __________________________________

                Street: __________________________________

         City, Country: __________________________________

  	  E-mail / Fax: __________________________________


    1.  Program to register: ____PFONT____________________

    2.  Registration fee: US$_____________________

    3.  Number of licences required: _____________
        (one for each PC)

    4.  Postage / Fax fee: US$____________________
	(not required if registering via e-mail)

	US$1.00 for postage or fax within Australia
	US$2.00 for postage or fax outside of Australia

    5.  TOTAL Registration fee: US$_______________
	(or the equivalent in your local currency)

    6.  Method of Payment: _________________________________________
	(eg cash or cheque)


	Signature: _______________________________  Date: __________


	Which version of PFONT are you using: ______________________


        Where did you discover PFONT: ______________________________
	

	Comments / Suggestions: ____________________________________


	____________________________________________________________
