R E G I S T R A T I O N   F O R M

        TO:  Don Paul Jones                             Date___/___/___
             84-1043 Hana Street
             Waianae, Hi 396792


            (Please use capitalization and punctuation where necessary.)

      FROM:  SysOp Name: _______________________________________________ 

             BBS Name: _________________________________________________

             Address: __________________________________________________ 

             City: ______________________ State: __________ ZIP: _______ 

             Voice: (   ) _________________ BBS: (   ) _________________

             BBS Software: _____________________ BBS Hours: ____________

             Baud Rates:________________________ 


      SOFTWARE                          VERSION                  PRICE 
      --------                          -------                  -----

      Hawaiian Trivia ................... 1.8 ................. $5.00 __
      Picture Viewer .................... 1.7 ................. $5.00 __
      American Trivia ................... 1.2 ................. $5.00 __
      Hawaiian Phone Book (ANSI Version). 1.0 .................  FREE __
      Hawaiian Phone Book (VGA Version).. 1.1 .................  FREE __
      (Current versions as of 10-03-92)

      Total .....................................................  -----

             All program registrations will be promply donated to:
                           ÕÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍ͸
                           ³ THE ALOHA UNITED WAY ³
                           ÔÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍ;

                                F E E D B A C K
                                ---------------

      COMMENTS: _____________________________________________________ 
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