Edgar to Word Wizard Registration Form

|                |                                          |
|Name:           |                                          |
|                |                                          |
|Company:        |                                          |
|                |                                          |
|Address:        |                                          |
|                |                                          |
|Ct, State, Zip  |                                          |
|                |                                          |
|Email:          |                                          |
|                |                                          |
|Payment Method: |                                          |
|                |Visa ____     Mcard ____    Amex ____  Chk|
|                |_____                                     |
|                |                                          |
|Card / Check #: |                                          |
|                |                                          |
|Expiration Date:|                                          |
|                |                                          |
|                |# Copies ________    *  $19.50 = ________ |
|                |                                          |
|                |$5.00 discount if before June 30, 1996    |
|                |                                          |
|                |I agree to pay above total according to   |
|                |card issuer agreement.                    |
|                |                                          |
|Signed:         |                                          |

Please send to:

Internet - nextgensft@aol.com
CompuServe - 72154,1174
AOL nextgensft

Fax 703-560-1266

Next Generation Software, Inc.
2831 Gallows Rd. Suite 201
Fall Church, VA 22042

Thank you for registering the Edgar to Word Wizard