RixWare Development                              www.RixWare.com
3300 Bloomington Avenue South               register@RixWare.com
Minneapolis, MN  55407-2215


Thank you for registering Rix Date Calculator 2000! Print and
complete this form, then mail it with your payment to the above
address. Minnesota residents add 6.5% sales tax.

Please select one:  [  ] Rix Date Calculator 2000 - US$15.00
                    [  ] Rix Date AND Time Calculator - US$20.00

Name    __________________________________________________

Company __________________________________________________

Address __________________________________________________

        __________________________________________________

City    ____________________  State ______  Zip _____________

Phone   ____________________  Fax ____________________

EMail   __________________________________________________

Method of Payment

  [  ] Credit Card  (NOTE - All credit card transactions are
       processed by Video Cam Rental. This is the vendor name
       which will appear on your credit card statement.)

       [  ] Visa  [  ] Master  [  ] Amex  [  ] Disc

       Card Number ________________________  Exp  _____/_____

       Signature __________________________

  [  ] Check (payable to RixWare Development)
  [  ] Money Order

How did you hear about this program? Where did you download?



Thank you for your registration! A confirmation which includes
your registration code will be sent to you by e-mail as soon as
your payment has been received.