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

                          Bday v1.3/GAP - 1/31/90


Name ________________________________________________________________________

Address _____________________________________________________________________

City ________________________________ State __________ ZipCode ______________

Phone Number ________________________________________________________________

Exact full name (for registration notice) ___________________________________

Exact BBS Name (for registration notice) ____________________________________


Disk Media (check one):    5 1/4" 360k _______      OR     3 1/2" 720k ______



                        Registration            ___$10__

                        Upgrade Disk            __free__

                        Shipping (via USPS)     __free__

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

                        Total Enclosed          __$10 __



                Remit to:

                         Dyne Software Development
                         Attn: Larry Antram
                         25144-A Steinbeck Avenue
                         Stevenson Ranch, CA 91381



Where did you obtain Bday? ___________________________________________________

Suggestions or comments ______________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

                     *** Thank you for your support! ***