Registration Form Please support shareware by making your payment. Remit To: Robert Neal, 317 Hickory, Romeoville, IL 60441 -------------------------------------------------------------------------- PROGRAM NAME PRICE AMOUNT [ ] BBS Bowling Solitaire v1.2 $14.95 ________ [ ] Card Sharks BBS Door v5.8 $14.95 ________ [ ] CD ROM Duplicate File Analyzer v1.3 $ 9.95 ________ [ ] CD ROM File Date Analyzer v1.0 $ 9.95 ________ [ ] DaLabeler v4.8 $14.95 ________ [ ] DizIt v3.4 $11.95 ________ [ ] Links Country Club Golf BBS Door v4.0 $14.95 ________ [ ] PCBoard User Ratio Monitor v1.6 $14.95 ________ [ ] Z-Wordz BBS Door v2.2 $14.95 ________ [ ] Current version of programs selected on disk $ 5.00 ________ Disk size: [ ] 5.25"-High Density [ ] 3.5" LESS: Volume Discount/# programs ordered (min 2) ____ @ $3.00 ________ A 20%+ discount for each program ordered ___________ TOTAL $ ======== Please indicate method of receiving your registration key: [ ] - Provide registration key via private message on support BBS (815) 886-3233 or (815) 886-9381 [ ] - Provide registration key via US Mail [ ] - Provide registration via Internet E-Mail Internet E-Mail Address: _______________________________ ---------------------------------------------------------------------------- ** Payment by Check (US Bank or branch), Money Order or Credit Card Only ** Complete if paying by credit card (Visa/Mastercard only): [ ]-Visa CARD #: _______________________________ EXP DATE: ___/___ [ ]-MasterCard SIGNATURE: ____________________________________ Use your Visa/MasterCard to register online - simply call the support BBS at (815) 886-3233 or (815) 886-9381. Type CHARGE at main menu prompt. ----------------------------------------------------------------------------- Name: _________________________________ Address: _________________________________ _________________________________ BBS Name to enter in registration (30 char max) Phone number _______________________________________ ( ) _____ - ________ Baud Supported: _______ BBS software used: ___________________ --------------------------------------------------------------------------- Fold at the page break below with the printing facing out. Then fold letter style, exposing the mailing address and hiding your information. If necessary, staple check to the mailer, then staple or tape sides and top. _________________________________ Place _________________________________ Stamp _________________________________ Here Robert Neal 317 Hickory Romeoville, IL 60441 U.S.A.