
    GLOBAL SECURITY REGISTRATION FORM.
    Copy this file to your printer, fill it out, and mail it.

    DISCOUNT INFORMATION:    Quantity		  Price

				    1		  $35.00
			      2 -  10		  $34.00 each
			     11 -  50		  $33.00 each
			     51 - 100		  $32.00 each
			    101 - 200		  $31.00 each
			    201 - 300		  $30.00 each
				  301+		  $29.00 each

    Buying on discount allows you to make and use the number of copies
    registered on the registration form. You are on the honor system not
    to make excess copies of the program.

    All payments must be made by check or money order. No cash please.
    All checks and money orders must be in U.S. funds drawn on a U.S.
    bank. Make all checks or money orders payable to MacGregor K. Phillips
    and mail the payment and this registration form to: (if sent by
    certified mail deduct $5.00 from total registration fee)

				 MacGregor K. Phillips
				 Sto. Nino
				 Palauig, Zambales 2211
				 Philippines

    Enclosed is $_____________ for payment for _________ copy/copies
    of GLOBAL SECURITY:

    DISCOUNT RANGE     QUANTITY 	PRICE/COPY	   TOTAL PRICE

    [ ]		  1	   1		  $35.00		$35.00
    [ ]    2 -	 10    __________	  $34.00	   ___________
    [ ]   11 -	 50    __________	  $33.00	   ___________
    [ ]   51 -	100    __________	  $32.00	   ___________
    [ ]  101 -	200    __________	  $31.00	   ___________
    [ ]  201 -	300    __________	  $30.00	   ___________
    [ ] 	301+   __________	  $29.00	   ___________

					  SubTotal	   ___________
					  Certified Mail      -  $5.00
					  Total 	   ___________

    Please include the following information:

       Name: __________________________________________________________

    Company: __________________________________________________________

     Street: __________________________________________________________

       City: __________________	State: ______________	ZIP: __________

    Country: ___________________  Phone: (    ) __________ - __________

    Acquired From: _____________________________________________________

