REGISTRATION FOR CALLCNT V2.00

        Please print out this form, sign it and mail it along with your
        registration payment.

        Please make payment to:     Larry Edwards
                                    P.O. Box 3429
                                    Kent, Washington 98032

        Please register one copy of CALLCNT for each user at your site.

         CALLCNT Registration   Qty. _____ @ $5.00 ea.          = ___________

         Wash. Residents Add Applicable Sales Tax               + ___________

         Total Payment                                           $-----------

       PAYMENT MUST BE IN US DOLLARS OR YOUR ORDER CAN NOT BE PROCESSED

        *** MAKE ALL CHECKS PAYABLE TO: LARRY EDWARDS ***


             Name:  ___________________________________________________

          Address:  ___________________________________________________

 City, State, Zip:  ___________________________________________________

          COUNTRY:  ___________________________________________________

        Day Phone:  ____________________  Eve:  _______________________

        BBS Number: --------------------

        Signature:  ______________________Date:________________________

        Where did you get your copy of CALLCNT? ________________________

        _______________________________________________________________

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