]

                             REGISTERATION FORM

                              MLOGOUT/WMLOGOUT


 Name: ______________________________________________

 Company: ___________________________________________

 Address: ___________________________________________

 City: ______________________________ State: ________

 Zip code: _____________________

 Phone: _____________________________  Ext: _________


 Product                          Quanity          Price/each       Total
------------------------------------------------------------------------------

 MLOGOUT Server version
 WMLOGOUT Server Version
                                  _______              $150         _________
                                    


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

                            Shipping and Handling:     5.00/per     _________

                                         Tax (VA residents add %4): _________


                                         Total order:               _________


Please specify disk size:      5-1/4___________      3-1/2___________


Additional information:

        How did you learn of MLOGOUT? ______________________


        Do you run diskless workstations? __________________

                        In Standard mode? __________________

                        In Enhansed mode? __________________

        What version Netware are you running? ______________

        Do you use Windows?                Yes           No


Please return form to:

        Dana Consultants
        PO Box 2953
        Reston, VA 22091

        (703) 620-3554