Registration:

Please make your payment of $49 in US dollars payable to: 
antern Corporation.  Please do not send cash.

Name: ____________________________________ 
	
Company: _________________________________   

Address: _____________________________________________________

City: _____________________ State: _______ Zip: ______________

Phone: ___________________________  FAX: _____________________

How did you hear about MOVIE?  

______________________________________________________________


Signed: ________________________________  Date:  _____________ 


Send to:	Lantern Corporation, 
		63 Ridgemoor Drive, 
		Clayton, MO 63105.

