Suggestions and/or comments may be sent to the address below or
        via electronic mail: 

                            The Starship Enterprise
                                 (201)773-5426
                                The Passaic BBS
                                 (201)471-6391


                   D O O R   R E G I S T R A T I O N   F O R M 


        TO:  Charles R. Lekowski                        Date___/___/___
             PO Box 1083
             Paramus, NJ  07653-1083

             ***********************************************************
             *   PRINT THIS EXACTLY AS YOU WANT IT TO APPEAR ON THE    *
             *   TITLE SCREEN AND IN THE CONFIGURATION FILE OF YOUR    *
             *   REGISTERED COPY OF THE DOOR PROGRAM(S) INCLUDING ANY  *
             *   UPPERCASE LETTERS, LOWERCASE LETTERS AND PUNCTUATION. *
             ***********************************************************

      FROM:  SysOp Name: _______________________________________________ 

             BBS Name: _________________________________________________

             Address: __________________________________________________ 

             City: ________________________ State: _____ Zip: __________

             Voice #: (   )________________ BBS #: (   )________________

             BBS Software & Version: _________________ BBS Hours: ______

             Is your BBS PCPable: _________ PCP City Code: _____________

             ********  Please allow 1 to 2 weeks for delivery.  ********


        SOFTWARE              VERSION            DEMO **           PRICE
        --------              -------            ----              -----
        VAMPIRE   ............. 1.0 ............. L/S ........... $10.00
        Madam FIFI ............ 1.0 ............. L/S ........... $10.00
        2 Card MONTE .......... 1.0 ............. L/S ........... $10.00
        Christmas CREEP ....... 1.0 ............. L/S ........... $10.00
        SLOTS   ............... 1.0 ............. L/S ........... $10.00
        HAMURABI .............. 1.0 ............. L/S ........... $10.00
        FIDOLIST .............. 1.0 .............  S  ........... $10.00
        CRAZY 8's ............. 1.0 ............. L/S ........... $10.00
        BASEBALL .............. 1.1 ............. L/S ........... $10.00
        BOGGY MARSH ........... 1.1 ............. L/S ........... $10.00
        CASTLE ................ 1.0 ............. L/S ........... $10.00
        GOLF .................. 1.0 ............. L/S ........... $10.00
        CIA ................... 1.0 ............. L/S ........... $10.00
        CIVILWAR .............. 1.0 ............. L/S ........... $10.00
        TRUCKER ............... 1.0 ............. L/S ........... $10.00
        BACCARAT .............. 1.0 ............. L/S ........... $10.00

        (NJ residents add 6% sales tax)                            _____

        TOTAL                                                    $______ 

        *****  Please send certified checks or money orders only.  *****
        Personal checks will be required to clear BEFORE processing order!

        *  1 free with 2 other door registrations.
           (This offer is subject to change without notice.)

        ** S = Shareware demo, L = Local-only demo or F = Freeware


        ******  Keep on the lookout for more doors to come !!!!  ******


                                F E E D B A C K 
                                ---------------

        I learned of L&R Associate doors from:
                [  ] - A Friend         [  ] - Door Program
                [  ] - BBS              [  ] - Other 

        COMMENTS: _____________________________________________________ 
        _______________________________________________________________ 
        _______________________________________________________________ 
        _______________________________________________________________ 
        _______________________________________________________________ 
        _______________________________________________________________ 
        _______________________________________________________________ 
        _______________________________________________________________