**************
REGISTRATION FORM
**************
Name:
Lastname:
Adress:

Phone:
E-mail adress:
wish to receive the last version
of GIFCLEAN program.
***************
Registration fee: 50 Francs Francais.
        (equivalent to $10(US)
***************
The best way to register is to
use the COMPUSERVE's registration service:
GO SWREG
Registering ID: 13177
***************
If not:
***************
I'm living in France and I'm sending to-day
a 50 Francs check to
Berthelot Rene
adress:
58 bis traverse du Viaduc
13015, Marseille (France)
****************
I'm not living in France and I'm sending to-day
a 50 FF traveller check to:
Berthelot Rene
adress:
58 bis traverse du Viaduc
13015, Marseille (France)
*****************
I wish to receive the
French/English version
by E-mail to E-mail adress:

by postage, (in this case, add
30 Francs Francais)
to this adress:



******************
Command details:
nn copies of GIFCLEAN PROGRAM:--  nn X 50 = nn
Postage charges: -------------------------- 30
-----------------------------------------------
Total----------------------------------------tt Francs Francais
***************************************************












