Registration Form
Man On The Moon Software   "Around the world again"
-----------------------------------------------------
        PLEASE SEND!        

        Name (First): _________________  (Last):_____________________
        Address: ____________________________________________________
        Address: ____________________________________________________
        E-Mail:______________________________________________________
        Appt: _______________   City: ________________
        State or Province : __________________
        Country (if not USA): ______________________
        Phone (Opt.): _______________  Fax (Opt.): __________________
        Product Name (Req.): CD Control Panel__________________
        Comments: ___________________________________________________
        _____________________________________________________________
        _____________________________________________________________
        _____________________________________________________________


        Please Send this form to:
        jrapp@mail.geocities.com

        or:
        Man On The Moon Software
        c/o Jeff Rapp
        RR 1 Box 98A
        Ansley NE, 68814


        Thanks for your time!!

                                ---End Of File---
