			TODB version 1.01 Registration Form
			   Please add shipping below.

    If you desire the latest available TODB disk then pay for the TODB
    registration and the Shipping item.
    All taxes pertain to canadians residents and/or residents of Quebec.

    Check prefered disk size __5.25" disks  __3.5" disks

	    Item                    Quantity        Price           Amount

    TODB Registration                           $45.00 (CA $) or
				    ________    $35.00 (US $)       _______

    Shipping                           1 X      $3.00 (CA or US $)  _______
    (North America)

    Shipping                           1 X      $8.00 (US $)        _______
    (Outside North America)


    CANADA Residents Only            Add 7% GST             _______ 

						SUB-TOTAL   _______

    QUEBEC Residents Only            Add 8% PST             _______
				     to sub-total

    TOTAL                                                           _______
								
    Name:           ___________________________________________ 
 
    Company:        ___________________________________________ 
 
    Address 1       ___________________________________________ 
 
    Address 2       ___________________________________________ 
 
    City            ____________________Prov/State_______PC/ZIP__________ 

    Country         ___________________________________________

    Phone  (      ) _________ - _________________

 
    Mail this form with payment, check or money order, to:

    DALIPLUS enr.
    8535, Saint-Gerard street,
    Montreal (Quebec)
    CANADA   H2P 2E3
    Voice: (514) 382-8178
