          Bricklayer for Windows v1.7 Registration Form
                     Vanilla-Extract Software
==================================================================
[Name]
Title           _______
Last Name       ____________________  
First Name      ____________________         Initial __
==================================================================
[Address]
if USA:
        Address    _______________________________________________
        City       _______________________________________________
        State, Zip __   _____-____

if Outside USA:
        Address __________________________________________________
                __________________________________________________
                __________________________________________________
                __________________________________________________
        Country ____________________________

email address                                _____________________
Would you like to be notified about new 
products/releases via email ?                [ ] Yes        [ ] No
==================================================================
[Additional Information]
Where did you find Bricklayer (ftp/internet, online service, 
BBS, friend, etc.) ?



What Hardware and OS are you using ?



Any Comments/Suggestions regarding Bricklayer ?


==================================================================
Pricing Information
==================================================================
Description                           Qty   Unit Price       Total
------------------------------------------------------------------
Single-User Registration                        $10.00
..................................................................
Additional Single-User License                  $ 5.00
..................................................................
10-machine site license                         $50.00
25-machine site license                        $100.00
Unlimited site license                         $150.00
..................................................................
Latest Version on disk                          $ 3.00*
..................................................................
Bonus Disk Set of Music and Graphics            $10.00*
(includes latest version)
..................................................................
                                        Total Enclosed:
------------------------------------------------------------------
* Only registered users or users registering with this order
  are eligible to purchase disk sets.  Price includes media
  and shipping charges.
==================================================================


---------------8<---------------8<-----------------8<-------------

Thank you for registering Bricklayer for Windows!
Please send US$10 for each copy of Bricklayer to be registered to:
        Yevgeny Gurevich
        129 Franklin Street #112
        Cambridge, MA 02139-4100

You may alternatively register via CompuServe's Shareware Registration:
        GO SWREG
        The CompuServe SWREG id for Bricklayer is #4732

