PPoint REGISTRATION Form TO: Harvey Parisien Box 8375 Ottawa, Ontario Canada K1G 3H8 FIDONET 1:249/114 Your PPOINT license entitles you to use all FUTURE UPDATES FREE. Please indicate which registration fee is applicable... [ ] $15.00us - NON COMMERCIAL USE... [ ] $85.00us - COMMERCIAL USE... [ ] no charge - Charities, Churches, Missions, or any organization of a charitable nature that provides assistance to those in need. [ ] no charge - Public Schools. To register, please send the appropriate fees directly to any reasonable charity of your choice, and mail this form to me for our records only. If you can't afford to make a donation at this time, please remember to do so when you can. Date: _____/_____/_____ (mm/dd/yy) Organization: ____________________________________________ (if applicable) Users Name: ____________________________________________ Mail Address: ____________________________________________ City, State: __________________________________(________) Voice Phone: ____________________________________________ Data Phone -or- Fido Address: __________________________ CURRENT PPOINT VERSION: _______________________________ Charity Supported: ____________________________________________________________ (optional information, some people rather this remain private) * * * Thank you for your interest in PPoint, and your contribution to charity. All information contained herein remains confidential.