REGISTRATION/ORDER FORM Indicate below the software desired: Item Price Total --------------------------------- -------- -------- MAKEBLTN.EXE Registration $10.00 ________ MAKEBLTN.C Source (Borland 3.1) $25.00 ________ REPORT.EXE Registration $10.00 ________ REPORT.C Source (Borland 3.1) $25.00 ________ DUSTATS.EXE Registration $10.00 ________ DUSTATS.C Source (Borland 3.1) $25.00 ________ PADLOADS.EXE Registration $10.00 ________ PADLOADS.BAS Source (PowerBASIC) $25.00 ________ SBGRELAY.BAS Source (PowerBASIC) $10.00 ________ BBS Security PAK Source (PPL) $25.00 ________ (CALLBLOC, DUP-BLOC, CALLCHK, VULGARID) BULLCHK PPL Source $15.00 ________ ANSR.PPE Registration $05.00 ________ ANSR PPL Source $15.00 ________ BOTHALL PPL Source $15.00 ________ ALLCALL/ALLSTAT PPL Source $15.00 ________ TOTAL $________ Specify disk: 5.25": _____ 3.5": _____ PAYMENT BY: Check/Money Order No.___________________ enclosed for $__________ OR CHARGE TO: MasterCard ___ Visa ___ Expiration Date__________ Card Number:_____________________________________________________ Card Issued To:__________________________________________________ Signature:_______________________________________________________ MAILING ADDRESS: Name:____________________________________________________________ Address:_________________________________________________________ City/State/Province:_____________________________________________ Country/Postal Code:_____________________________________________ Telephone (Voice/FAX/Modem):_____________________________________ MAIL TO: A. Segura, P.O. Box 1089, Sterling, VA 20164-1089