Lake Forest Software
LFStatus VBX Registration Version 1.5

Date: 	 ________________

Name: 	 _______________________________________________

Title:	 _______________________________________________

Company: _______________________________________________

Address: _______________________________________________

City, State, Zip: ______________________________________

Country: ___________________

Phone (optional): ______________________________________


Disk Size: ____________________

Downloaded From: _____________________________
Enter your screen name (user id) for electronic distribution: ____________________



Comments or Suggestions:

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________




Enclose a check or money order for $10 + $3.50 S&H ($13.50 total), and mail to:
(Shipping and handling only for mailed diskette, no S&H charge for AOL E-Mail 
distribution. CompuServe members, sorry no E-Mail Distribution)

     Lake Forest Software
     7117 Mowhawa Drive
     Fort Wayne, IN  46815