                           Celia Varga
                          8 Cherry Street
                        Glen Head, NY  11545
                        BBS: [516] 676-0741
                        FAX: [516] 674-8317

Please send check or Money order for $10.00 to above address to
register DoorDescribe! PPE v1.0.


      Name:_______________________________________

  BBS Name:_______________________________________ (Case is important)
BBS Number:_______________________________________
   Address:_______________________________________
      City:_______________________________________
     State:________
       Zip:________
     Phone:_______________________________________
       Fax:_______________________________________


 I will:
     ____ Pick up my registration number from Alternative Insights.
     ____ Would like my registration number mailed/faxed to me.

  Thank you for registering this product!
