REGISTRATION FORM HOURWATCH Version 1.10 ========================================================================= Robert Martellino P.O. Box 41162 Los Angeles, CA 90041 ========================================================================= NAME ______________________________________________________________ COMPANY ______________________________________________________________ TITLE ______________________________________________________________ ADDRESS ______________________________________________________________ CITY, STATE, ZIP (COUNTRY) _______________________________________________ PHONE (OPTIONAL)__________________________________________________________ =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= Number of Copies to be registered: _______ at $15.00 Total $______ Please make sure payment is by check or money order and in US Funds. PLEASE DO NOT SEND CASH! =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= FOR AUTHOR USE ONLY _____ CHK ___/___/___ _____ MO _____ # Ref #1001100000XXX