Registration Form


Quantity ________  x $ 15.00    =           $  ________

Shipping (U.S. $4.00, Canada and
  Mexico $6.00, foreign $8.00)              $  ________

Missouri Residents please add 6% sales tax  $  ________

Total                                       $  ________

Please include a Check or Money Order made payable to
Kelly Schrock.



          Diskette size: [  ] 3.5"   [  ] 5.25"

 Name     _______________________________________________
 Company  _______________________________________________
 Address  _______________________________________________
          _______________________________________________
          _______________________________________________
 Phone    _______________________________________________

I have read and agree to abide by the license agreement:

 Signature  _____________________________________________


Where did you get System Configuration Editor?

 ___________________________

If you received System Configuration Editor from a BBS, what is
its complete name and phone number?

___________________________________
_________________________________________________________

Please include any comments or suggestions on the lines
which follow.  Use an additional page if necessary.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________

For information about volume discounts, site  licenses, and
technical questions please contact VacNat Software.

Mail this form to:  VacNat Software
                    1370 White Oak St.
                    Harrisonville, MO 64701