D O O R   R E G I S T R A T I O N   F O R M

   TO:  DRAGON BUSINESS SERVICES, INC.                      Date___/___/___
        10495 MAD RIVER RD
        NEW VIENNA OH 45159

Please enter as you have in your configuration file.  Case and punctuation
specific.

 FROM:  SysOp Name: _______________________________________________
        BBS Name: _________________________________________________
        Address: __________________________________________________
        City: ______________________ State: __________ ZIP: _______
        Voice: (   ) _________________ BBS: (   ) _________________
        BBS Software: _____________________ BBS Hours: ____________
        Baud Rates:__________________ Fidonet Address: ____________
        Password for entering our system: _________________________

 I heard of this door from:

 [  ]-A Friend, [  ]-Computer Club,  [  ]-User           [  ] - Other
 [  ]-Another BBS (Name & #)_________________________________________________

 COMMENTS: __________________________________________________________________
 ____________________________________________________________________________
 ____________________________________________________________________________
 ____________________________________________________________________________
 ____________________________________________________________________________


TIMELORD TRIVIA           $10.00 ea.                   quanity _________

    Trivia door based on the television show "DR Who"
    

SHIPS OF WAR              $20.00 ea.                   quanity _________
  
    Battleship type bbs game that allows 2 users to compete in head to 
head combat.  Multiple games can be running at the same time.  Played in real
time.

Please mail this form along with payment to the above address or fax it to 
513-987-2765, or register online at Dragon BBS (513-987-2417, 513-987-2421,
513-987-2466).  All keys will be posted on our bbs 24hrs after payment is
received unless you send a self addressed stamped envelope.

To pay by using your credit card please fill in the following information:

Name: _______________________________________________________

Street Address: _____________________________________________

City: ___________________    State: _______ Zip: _____________

Phone Number: _______________________

Card Number: _______- ______-_______-________

Expiration Date ________________       Amount of Purchase $ ___________       

Signature: ____________________________________________