BatchMen Version 3.0a
                      Copyright (c) 1994 Phe Meas
                          All Rights Reserved
                         
                         REGISTRATION/ORDER FORM

  To: Phe Meas                                    BBS: (617) 286-3808   
      6 Carol Ave                            Internet: phe.meas@rocks.org
      Boston, MA 02146                                 pie@dsn.com

From: Name    ___________________________________________________________

      Company ___________________________________________________________

      Address ___________________________________________________________

      City    ____________________________  State ______ ZipCode ________

      Country ___________________________________________________________

      Phone   ____________________________  Fax _________________________

Where did you obtain or hear about the software? ________________________

Computer:      [ ] AT/286     [ ] 386     [ ] 486     [ ] 586

Memory Size: ____________    Hard Disk Size: __________

Drives:  [ ] 360K 5.25"   [ ] 720K 3.5"   [ ] 1.2M 5.25"   [ ] 1.44M 3.5"

Screen:    [ ] Mono/Herc     [ ] CGA     [ ] EGA     [ ] VGA     [ ] >VGA

Dos Version: _______    Windows Version: _______    OS/2 Version: _______

  P R O D U C T  /  L I C E N S E                     Q T Y   P R I C E  
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| BatchMen 3.0a                                     |       |   5.00    |
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| T O T A L                                                 |           |
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                [] Check                [] Money Order

Signature       _______________________________   Date __________________

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