--------------------------------------------------------------------------
                       USER AGREEMENT DOOR ORDER FORM
--------------------------------------------------------------------------

 REGISTRATION NAME : _______________________________   (AS SHOULD APPEAR IN
                                                        REGISTRATION)
         YOUR NAME : _______________________________   (IF DIFFERENT)

    POSTAL ADDRESS : ______________________________________________________

                     ______________________________________________________

                     ______________________________________________________

  E-MAIL ADDRESSES : ____________________________________   (IF APPLICABLE)

   ADDITIONAL INFO : ______________________________________________________
                     i.e. Fax Number

I WISH TO RECEIVE MY ORDER BY:
          ___
         |   | - INTERNET E-MAIL (FASTEST)
         |___|
          ___
         |   | - CONVENTIONAL MAIL
         |___|
          ___
         |   | - FAX (INCLUDE FAX #)
         |___|

                        ___
I WOULD LIKE TO ORDER: |   | - USER AGREEMENT DOOR REGISTRATION KEY
                       |___|   ($5 US DOLLARS)

MAKE CHECKS PAYABLE TO:   MIKE PENTA
                           P.O. BOX 67277
                           CUYAHOGA FALLS, OHIO
                           USA
+-- OFFICIAL USE ONLY ----------------------------------------------------+
|                                                                         |
| S.N. : _____________  SENT : _________________________________________  |
+-------------------------------------------------------------------------+