PJ SOFTWARE ORDER FORM



  White Water Rafting Registration and Order form. (ver 1.0)

  Please check one of the following:

  __ I would like to register my copy/copies of the Rafting I Screen Saver..$10.00


                                                  Total      $_____
						

  Please complete the order form and enclose your check or money 
  order, payable to Patrick Johnson.

  PJ SoftWare
  1 Gearing Street
  Goose Creek, SC  29445  

  Please PRINT

  NAME: ___________________________________________________

  ADDRESS: ________________________________________________

  ADDRESS: ________________________________________________

  City, State, Zip: _______________________________________

  E-MAIL: ______________________________________

If you included an E-mail address, the registration information will be returned via E-mail.
 
 Thank you.