SOURCE REGISTRATION

     Remit to:                From:

     Rick Maddy               Name:__________________________________
     2727 Folsom Street       Company:_______________________________
     Apt. 104                 Street:________________________________
     Boulder, CO 80304        City:__________________________________
     (303) 440-3682           State/Zip:_____________________________
                              Phone:_________________________________
     Compuserve Id:           Compuserve Id:_________________________
     76460, 1601
                              Name to register in:
                              (Up to 40 characters)
                              _______________________________________


     Qty:                     Unit Price               Total:

     ____ SOURCE Software     $25.00 (20 + 5 S&H)      ________


     Specify Disk Size:

     _____  5 1/4"       _____  3 1/2"


     Current Version of Source:______________________________________

     Where Obtained:_________________________________________________

     Comments: