+--------------------------------------------------------------------------+
 |                     ANS2COM V.3.0 REGISTRATION FORM                      |
 +--------------------------------------------------------------------------+


     NAME:    ________________________________________________________


     ADDRESS: ________________________________________________________ 


              ________________________________________________________ 


              ________________________________________________________
                         (Include ZIP code or equivalent)

     PHONE: (______)- _______ - __________________

     DISK SIZE (check one):

                      +--+                     +--+
                      |  | 3.5"                |  | 5.25"
                      +--+                     +--+

  ===========================================================================

     DESCRIPTION                            QTY.      EACH        Total

     Registration of ANS2COM              _______    $15.OO      __________

     The following will be included at no extra charge:
          1.  Latest version of the program
          2.  Additional ANSI graphics files
          3.  Other interesting and useful programs
          4.  User support by mail or CompuServe EMail
          
     Add $1.OO for each 3.5" diskette     _______     $1.OO      __________

     Shipping & handling ($2.OO US & Canada; $5.OO elsewhere)    __________

     Ordering from New Jersey?  Please add sales tax             __________   

                                                  TOTAL          __________

     Enclose cash, check or money order payable to:

                                REXXCOM SYSTEMS

     Always send cash by certified mail.

  ===========================================================================

      Mail this form with payment in full to:

                                REXXCOM SYSTEMS
                                  P.O. BOX 111
                           SCHOOLEY'S MTN., NJ  O787O

   THANK YOU                                                          ENJOY!