Registration Form : CBV 0.97 (RENEGADE)
                      Copyright (c) 1991-93 Chris Holko
                        All Rights Reserved Worldwide.

                               Mail to :
                          Chris Holko
                          1029 Franklin Road Suite 4C
                          Marietta, Georgia 30067


    Name (or Company):_______________________________________________

            BBS Name :_______________________________________________

          SysOp Name :_______________________________________________

             Address :_______________________________________________

                City :_________________  State :_______ Zip :________

          Data Phone :___________________  Voice :___________________

          BBS Net ID :________________  WWIVNET/WWIVLINK/FIDONET/ICENET

  Iconian GateWay ID :___________________/________________/_____________
                       (userid)            (password)    (phone-last four)

                             Registration Fees

         Current Version of CBV      : $20.00 (s/h/disk)   <on disk>

    Mr. Holko,

    I am registering CBV version ___________.  Enclosed with this form is
    either a check or money order for US $20.00.  This shows my support for
    both the shareware concept and to encourage further developement of CBV.
    I further agree not to distribute registered copies of CBV without your
    expressed written consent.  I further agree that if I distribute
    registered versions of CBV without your consent that I will be liable for
    all copy(s) of the program released.

    I understand that CBV is provided as-is,  with no warranties implied or
    otherwise,  and that use of CBV is at my own risk.

    Should I have any comment or suggestions I understand that I may contact
    you via US Mail at the listed address, through your BBS system, and/or
    any network(s) that your board may currently carry.


    Signed :__________________________________ Date :________________

    (  ) Please add me to your user list on Iconian GateWay and provide me
         access to the special directory set up for registered CBV usage.