       
			Registration Form 
			       for
			     DAYLOG
       
       
	   Name ____________________________________________
       
       
	   Street __________________________________________
       
       
	   City/State ______________________________________
       
	   Please enclose the $20.00 registration fee (U.S. Currency)
	   and mail to:
       
			   C & E Associates 
			   119 Placid Drive 
			   Fort Myers,FLa. 
			     33919-6104
       
		  Thank you for your support, Ed Panner
       

