Purchase form for LogLister

   Name:      __________________________________________________

   Address:   __________________________________________________

   City:      __________________  State/Province: ______________

   Zip/Postal Code:__________

   Country:   __________________________________________________

   Day Phone: ____________________Night Phone:__________________

   Fidonet Address:__________Internet Address:__________________

   BBS Name:  __________________________________________________

   SYSOP Name:__________________________________________________

   Theme:     __________________________________________________

   BBS Phone#:___________________ Number of Lines: _____________

   On the line below please enter the SYSOP Name or BBS Name that
   you wish to appear in the Registration Field of the program
   (40 char max):

   BBS Name or SysOp Name: _____________________________________

   Where did you obtain your copy (eg BBS name)? :______________

   What Most Influenced You to Buy LogLister (Check Only One):

   ____ Price                   ____ Ad
   ____ Word of Mouth/Advice    ____ Features
   ____ Other (Please List):___________________



                         ------------------------

                               US Customers:

   PURCHASING INFORMATION:

   Please send your check or money order (U.S. Funds Only) payable to:

   zone one
   8424A santa monica blvd, suite 200
   los angeles, california 90069

    Allow 2 - 3 weeks for delivery.

   CREDIT CARD ORDERS CAN BE SENT ELECTRONICALLY TO:

   EMAIL:   zoneone@primenet.com

   Or Call:
   Vox:     213.653.6450


   LogLister v 1.xx -  Qty. _____       @ $35.95 ea.$__________

   California Residents Add 8.25%  Sales Tax         ___________

                                     Total Payment:  ___________

   I need a printed invoice mailed to me ____YES  ____NO



   Credit Card #:_________________________ Expires :______/______

   MASTER CARD:_____  VISA:_____

   Issuing Bank:________________________________________________


   Signature    :_________________________  Date:______/______/______


                         ------------------------

                             Other Customers:

   The price to non-US customers is UK pounds 25.00

   either: (1) enclose a Cheque made payable to "Paul Blitz" (* note 1)
       or: (2) enclose *CASH*

(* note 1: this price applies to cheques in UK pounds, drawn on a UK bank.
For cheques (in UK pounds) drawn against any other EU bank, please add 10
UK pounds (per cheque) to cover handling costs charged by my bank)

  Send to:
       Paul Blitz,
       25, Woodgreen Road,
       Harestock,
       Winchester,
       Hants,
       England,
       SO22 6LZ.

                 **** Thank you for purchasing LogLister ****