T A B S 

** Telephone Access Billing System Client Sign Up Form **

Please fill out the following information.

Client Name: ______________________________________________

Address: __________________________________________________

City, State, Zip: _________________________________________

Phone Number: Voice: ______________________________________

Phone Number: Fax: ________________________________________

List ALL phone numbers which access your BBS:

_______________    ________________     __________________

_______________    ________________     __________________

BBS Name: ________________________________________________

      **************  Questionnaire  **************

How did you hear about TABS? ______________________________
___________________________________________________________
Number of phone lines? _____________
Number of customers using your system? __________
Type of BBS software used? ____________
Do you currently charge for access to your BBS? ___________
What methods of payment are you currently accepting? ______
___________________________________________________________
Who do we make your checks payable to?
    _____________________________________________
    _____________________________________________
    _____________________________________________

Do you currently subscribe to other BBS's that you would like
to see use the TABS billing system?_______________________

If so, please list their names and numbers.
    _____________________________________________
    _____________________________________________
    _____________________________________________
    _____________________________________________
    _____________________________________________
    _____________________________________________
(NOTE: If you signed up on-line, this form is not necessary)