DELMAR CHRONICLES
		REGISTRATION FORM
		"Blood Oaths  Issue 1, Vol. 1"

Please use the following tables when ordering your registered copy:

# of active phone lines on your BBS		cost per license

_____	1 to 2 lines				$ 10.00	_____
_____	3 to 6 lines				   15.00	_____
_____	7 to 50 lines				   20.00	_____
_____	51+ lines				   25.00	_____

A.  # of copies ordered _____ X cost from above chart _________	= $__________
						Shipping     	= $___1.00____   
						Total A		= $__________
Bulk order discounts (includes distribution license and 1 user, 2 line license):

_____	5 to 10 copies				$ 8.00 per copy
_____	11 to 25 copies				  6.00 per copy
_____	26 to 50 copies				  5.00 per copy
_____	51+ copies				  4.00 per copy

B.  Bulk # of copies ordered _____ X cost from above chart _______ 	= $__________
						Shipping     	= $___4.50____   
						Total B		= $__________


				Total from A: $_____________
				Total from B: $_____________
				
				Grand Total:  $_____________
SHIP TO:

Name:________________________________________________________________

Address:______________________________________________________________

	______________________________________________________________

	City:________________________________State:________Zip:__________

Make checks/money orders payable to:

Mathew Schmitz
Schmitz Industries/SiClone BBS
1234 Portersville Rd.
Atoka, TN 38004

Orders may also be processed through SiClone BBS (901) 837-8985.