_______________________________________________________________________
| Check the boxes of the items you would like to register/order |       |
| Fill in any additional information as requested!              | Total |
|_______________________________________________________________|_______|
| (  )  Tri-Hang v2.31á  - Cost: $15.00 US dollars              |       |
|_______________________________________________________________|_______|
| (  )  BBSLister v3.10  - Cost: $15.00 US dollars              |       |
|_______________________________________________________________|_______|
| (  )  LTBank v1.0      - Cost: $15.00 US dollars              |       |
|                                                               |       |
|=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=|-------|
| (  )  Combo - Cost: $25.00 US dollars (Tri-Hang & BBSLister)  |       |
|_______________________________________________________________|_______|
| PLEASE MAKE SURE 'YOUR NAME' AND 'BBS NAME' (BELOW) MATCH THE |       |
| NAME OF THE SYSOP AND BBS IN YOUR CONFIGURATION FILES!!!!!!!! |       |
|                                          +~~~~~~~~~~~~~~~~~~~~|       |
| Your Name_____________________________   |Sub-Total...........|$______|
|                                          |                    |       |
| Address_______________________________   |Add $1.00 for orders|       |
|                                          |   outside U.S. ....|$______|
| City, State, ZIP _____________________   |                    |       |
|                                          |AMOUNT ENCLOSED.....|$______|
| BBS Name______________________________   |                            |
|                                          |----------------------------|
| Voice phone___________________________   |***** Office Use Only ******|
|                                          |----------------------------|
| BBS phone_____________________________   | Date recieved    -   -     |
|                                          |   Date Mailed    -   -     |
| Comments:                                | Tri-Hang  Reg # ________   |
|                                          | BBSLister Reg # ________   |
|                                          |----------------------------|
|                                          |----------------------------|
|                                          | Thank you for your order!! |
|__________________________________________|____________________________|
| If you would like me to log on to your BBS and leave you a message    |
| containing your registration numbers instead of mailing them, please  |
| create an account for me under the name BRUCE FARLEY and assign me a  |
| password and write it here                                            |
|                                                                       |
| PASSWORD:______________________                                       |
|                                                                       |
| If I am unable to log on due to busy signals, etc, etc, then I will   |
| mail your registrations instead.                                      |
|_______________________________________________________________________|

 Mail to:   Bruce W. Farley, 60 1/2 Halstead St., Clinton NJ, 08809 (USA)