                  Dial Clip  Order Form

Thank you for taking the time to register your software.
The mailing address is at the bottom of this page.

By registering and paying a license fee you will receive a code by return
mail which unlocks additional program features.

License Fee - $15(US) 
Ct residents must include sales tax.


Name:___________________________________________________

Title:__________________________________________________

Company Name:___________________________________________

Address:________________________________________________

City:______________________ State:_______ Zip:__________

Telephone Number: ______________________________________


How did you obtain?______________________________________


Mail To:				
Ed Guadagno
55 Clear Lake Road
North Branford, CT 06471

