----------------------------------------------------------------------------
                             SysCom User's Group
                          LastOn v4.x   Registration
  ----------------------------------------------------------------------------
  A Registration fee of $15.00 is required for continued use of LastOn.
  Please take a few minutes to fill out this registration form and return it
  to us.  This will allow us to inform you when there are software updates or
  new product announcements.

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

                                REGISTRATION

         SysOps name                : _____________________________

         BBS name                   : _____________________________

         PCBoard Version            : _____________________________

         BBS data number(s)         : (______)_____________________

                                    : (______)_____________________

         BBS voice number           : (______)_____________________

         BBS mailing address        : _____________________________

                                      _____________________________

         Version of LastOn installed: _____________________________

  ----------------------------------------------------------------------------
                         MAILING ADDRESS AND TELEPHONE NUMBERS

              Please make your $15.00 Check/Money Order payable to :

              Raymond M. Waltz
              7A Independence Court,
              Ridge, New York
              11961

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