Please complete this and post it with your payment 
to: 227 Ironbank Rd, Ironbank, Adelaide, South Australia 5153.

LifeSaver V4.3 Registration Form
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Please print clearly.

Name:      ______________________________________________________________

Address:   ______________________________________________________________
           ______________________________________________________________

Email:     ______________________________________________________________

[ ] Single-user registrations @ $10
[ ] Unlimited user site licence @ $50

Optional:

Where did you get LifeSaver? ____________________________________________
                             ____________________________________________

What features would you      ____________________________________________
            like added?      ____________________________________________
                             ____________________________________________

What other programs would    ____________________________________________
you like to see written      ____________________________________________
for Windows?                 ____________________________________________
                             ____________________________________________

Any other comments?          ____________________________________________
                             ____________________________________________
                             ____________________________________________
                             ____________________________________________

Thank you for your time.
