E-Z Access Software Ltd.		Form2
				    P.O. 395			  7/95
			      Calais, ME   045619-0395

	 Registration/Order Form For --  EZ-Index for "TRAVELER"

     Use this form for "ALL" Credit Card orders placed through E-Z Access
     Software Ltd. and for Canadian money orders and checks.

 Name: __________________________  Company: _______________________________

 Address: ____________________________________ Apt:# ______________________
								M    D    Y
 Street: ______________________________ Ctry: ___________ Date:___/___/____

 City: ________________________________ State/Prov: ______________________

 Zip/Code: ___________ Phone: _____-_______-_________ Home []  Work []

  Software will be shipped on a 3«HD diskette unless otherwise specified.
  Disk size: 5¬LD 360kb []   5¬HD []   3«DD []

			 (Please check one [x] )		    CAN. funds
  [ ] For Spring 1984 ----- v1.84 -- $12.75 ---------------------> $

  [ ] For Jan/Feb. 1990 --- v1.90 -- $10.50 ---------------------> $
								    ---------
							SUB total  $ ________

  Deduct 10% if a registered user of another E-Z Access Software
  product.  Product's name? _____________________________________  $ ________
  (ONLY applicable when order is placed through E-Z Access Ltd.)

  Registered users only:
  If an update, what is the version # and last month indexed in
  your registered copy? v ____ M ____ Y ____ Updates are $9.25 ---> $ ________

				   Shipping and Handling  --------> $     4.00
								    ----------
		  Add 7% GST to all Canadian orders      ------->   $ ________

	      Add 11% PST to all New Brunswick orders    ------->   $ ________

 Signature:_______________________ Total Enclosed or charge to card $ ________

 Check One: Visa[] - MasterCard[] #_______________________ Expiry Date:___/___

 Cardholder's Name as appears on Bank Card: _________________________________
							 (print)
  In Canada send this form to:  E-Z Access Software Ltd.
				5185 Hwy. 127, Bocabec,
				R.R. 2 Saint Andrews, NB.  E0G 2X0