W A R P S P A C E 
                         --------------------

                        User Registration Form

                    Print, Fill Out , and mail to:

                              WARPSPACE
                          c/o Mike Erskine
                        4301 John Cunningham
                          El Paso, TX 79934

            Please include $10.00 (US) software registration fee.

NAME_________________________________________________________________

ADDRESS______________________________________________________________

CITY,STATE,ZIP ______________________________________________________

COUNTRY  ____________________________________________________________

TELEPHONE ___________________________________________________________


NOTE:   If you want the function key editor you must enclose a stamped,
        self-addresed disk mailer and a formatted diskette.  The editor
        will be forwarded within 3 working days by regular ground mail.
        Turbo-C source code for the editor will be included.

        You will be notifyed of any upgrades as they become available.
        Upgrades will cost $5.00 and you will be asked at that time to
        forward a stamped, self-addressed disk mailer and a formatted
        diskette.

        Please tell us about the system you play Warpspace on.
        Check all that apply:

COMPUTER:
[ ] 286                   [ ] 386                    [ ] 486

DISPLAY:
[ ] EGA                   [ ] VGA                    [ ] Super VGA

MEMORY:
[ ] 1 Meg                 [ ] 2 Megs                 [ ] More than 2 Megs

INPUT DEVICE:
[ ] Joystick              [ ] Mouse

MODEM:
[ ] None         [ ] 1200 Baud            [ ] 2400 Baud     [  ] 9600 Baud

SOUND:
[  ] None       [ ] AdLib          [  ] Sound Blaster      [  ] Roland MT-32

LAN:
[ ] No          [ ] Yes


OTHER COMPUTERS YOU OWN OR USE:
[  ] MacIntosh                              [  ] Amiga