OFFLINE REGISTRATION APPLICATION

TO:   Harvey Parisien
      Box 323 Station A,
      Kingston, Ontario, Canada K7M 6R2
      FIDONET 1:249/114

Please find enclosed my registration fee of...

    [ ] COMMERCIAL USE: $45.00 per installation.

    [ ] PRIVATE USE:     $5.00 per installation.



        Date: _____/_____/_____ (mm/dd/yy)

Organization: ____________________________________________ (if applicable)

  Users Name: ____________________________________________

     Address: ____________________________________________

 City, State: __________________________________(________)

       Phone: ____________________________________________

Current Version you are using of OFFLINE: ________________

Fido Address where you can be contacted:  ________________