Executive Host BBS Sysop Registration Form


     Effective July 1, 1992, there are 3 Registration Options available.


Option (1) - gives you the complete Host, registered and ready to run. See
             enclosed docs and example files to get set up and running in
             minutes.  If you think you need additional support, consider
             option 2 below.  
             ---------  free upgrades to bug fix releases only  ------------

Option (2) - gives you the complete Host (option 1)
                               --->>>PLUS<<<---
             you will be given 45-minutes of daily access on our support BBS.
             ---------  free upgrades to bug fix releases only  ------------

Option (3) - gives you the complete Host with free upgrades throughout the YR
             and a Full HOUR daily access on our support BBS.  Sysops
             registering at this option will also be given advanced beta code
             and access to our 600 MEG CD-ROM Drive.

Option (4) - BBS Registration  A full hour online access to files


              (Add $5 shipping/handling to options 1, 2 and 3)


Select your Option  1 = Limited    $35  +  $5  shipping & handling
                    2 = Limited(+) $55  +  $5  shipping & handling
                    3 = Unlimited  $75  +  $5  shipping & handling
                    4 = BBS only   $40

              Mail check for Amount + $5.00 shipping US to:

                           Bob Coffey
                    1432 D Stoney Meadows Drive
                      Valley Park, MO  63088

         Please allw 5 days processing time plus mailing time

       orders paid with prepaid checks will be sent immediately

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

What is your city


What is your state or province


What is your country


What is your zip code or postal code


What is your name as you wish it to appear in the Host?


What password would you like on ESP bbs (if applying for bbs support)


What size disk do you wish your Host to be mailed to you on?




            Registration        _________________

            Shipping            _________________

            SUB-TOTAL           _________________

            * copies            _________________

            TOTAL               _________________


           There is no shipping charge on BBS only orders !!!!!