CNet/UDC Registration Form 09/10/92 Registration Information Name:___________________________________________________ Address:________________________________________________ City:___________________________________________________ Sate:_______________ ZIP Code:______________________ Registration name(exactly as you'd like to see it): ________________________________________________________ Voice Phone(Optional):__________________________________ Data(BBS) Phone(Optional):______________________________ Please complete: CNet for $25 $________ I would like the latest version of these program(s) on _____360K, _____720K disks(chose one) for $5.00 $________ Total $________ Please make checks payable to Rollin White and mail them to: Rollin White Computer Education Services 20222 Windcave Ln. Huntington Beach, CA. 92646-5341