                         Java Outline Applet v5.10
                         ~~~~~~~~~~~~~~~~~~~~~~~~~
			     *** Order Form ***


Send To :   Simon Daykin
		31 Manor Road
		Sherborne St John
		Basingstoke
		Hampshire
		England


Please register me as a user of the BSCOutline Java Applet. 
I enclose 15.00 Sterling for registration.
or 
I enclose 200.00 Sterling for registration with Source Code.
(Updated source code is not provided in the lifetime support)


    Name:____________________________

 Address:____________________________

	 ____________________________

	 ____________________________

	 ____________________________

   Phone:____________________________

     Fax:____________________________

   eMail:____________________________ 
(Required - Registration will be e-mailed) 

   Domain for Applet:____________________________ 
(Required - Registration code is based on domain) 


The questions below are optional!!!

Where did you get the applet from?

____________________________________________________________________________
Are there any other applets you may be interested in?

____________________________________________________________________________
What will the applet be used for?

____________________________________________________________________________
Other Comments

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________
