REGISTRATION APPLICATION


Send to: Centus (tm) Information Enterprise
         Suite 805
         Winston Churchill No. 138
         San Juan, PR 00926
       
         CIS 74404,2774
         BBS (809-283-6942) U.S.A

====================================================================
Centus (tm)            Product    Price           Qty        Total
==============================    ==========      ===      =========
Centus LITE 1.2B       ALL U.S.   $19.95          [  ]     $
                           
                           Shipping and Handling**         $3.00

                                        Total         $ 

Send cheque or money order to:  Edfel J. Rivera. Checks require 14 
days to clear with the bank. Available in 3.5" high density format 
only. ** Orders outside United States must send $10.00 for S & H. 
Product sent by Priority (Two) Day Service only in Continental U.S.
International orders must send payment in U.S. currency, $.


Ship to:
           Name ____________________________________
        
        Company ____________________________________

        Address ____________________________________

                ____________________________________

           City __________________  State _____  
            
            Zip ___________

            Fax __________________

            Tel __________________


1) DOS used ______________     5) CPU             _________

2) Installed RAM _________     6) Computer Brand  _________

3) Hard disk size ________     7) Have Coprocessor?  ______

4) Modem _________________     8) Have CD ROM     _________

9) Where did you hear about Centus (tm)?___________________


        *  Thank you - Orders Are Processed Promptly  *