Registration Form : CBV 1.50
                        Copyright (c) 1991 Chris Holko
                        All Rights Reserved Worldwide.

                               Mail to :
                          Chris Holko
                          1029 Franklin Road Suite 4C
                          Marietta, Georgia 30067


    Name (or Company):_______________________________________________

            BBS Name :_______________________________________________

          SysOp Name :_______________________________________________

             Address :_______________________________________________

                City :_________________  State :_______ Zip :________

          Data Phone :___________________  Voice :___________________

          BBS Net ID :____________  WWIVNET   WWIVLINK   FIDONET

  Iconian GateWay ID :___________________/____________/_________
                       (userid)            (passwd)     (phone)

                             Registration Fees

         Current Version of CBV      : $15.00 (suggested)  <no disk>

         Current Version of CBV      : $20.00 (s/h/disk)   <on disk>


    Mr. Holko,

    I am registering CBV version ___________.  Enclosed with this form is
    either a check or money order for US $______________.  This shows my
    support for both the shareware concept and to encourage further
    developement of CBV.  I further agree not to distribute registered copies
    of CBV without your expressed written consent.  I further agree that if
    I distribute registered versions of CBV without your consent that I will
    be liable for all copy(s) of the program released.

    I understand that CBV is provided as-is,  with no warranties implied or
    otherwise,  and that use of CBV is at my own risk.

    Should I have any comment or suggestions I understand that I may contact
    you via US Mail at the listed address, through your BBS system, and/or
    any network(s) that your board may currently carry.


    Signed :__________________________________ Date :________________

    (  ) Please add me to your user list on Iconian GateWay and provide me
         access to the special directory set up for registered CBV usage.