Photo Screen Saver Registration


Items marked with * are required
Name:*
Address:*
Address Line 2:
City:*
State:*
Postal (Zip) Code:*
E-mail:*
Phone: (Include your area code)
Screen Savers*
Quantity:

Print out this sheet and mail to me at:




http://www.taphilo.com

VISA  MC  AMX  Discover   CC Number:_______________________________ Exp: _______________

Send check or money order or use a VISA®, MasterCard®, or American Express® credit card. $15 per each screen saver being registered after which I will e-mail back the unlock code.

Quantity discounts available as well as ability to create custom screensavers from my images our yours. Please contact me for further information.