MICROMINDED SOFTWARE CO.; 13361 Blackbird St.; Garden Grove, CA 92643 S O F T W A R E R E G I S T R A T I O N F O R M Enclosed, please find my check or money order (#________________), in payment of the registration fee, and a new copy of "FBI" bearing my personal registration number. I understand that I shall be paid a commission of $5 for each new owner that pays his or her registration fee for a disk originally copied from my registered disk. The accrued commissions will be paid monthly. ============================================================================== Please print the following information. DATE:___________________ REGISTRATION NUMBER ON YOUR PRESENT COPY OF FBI:______________________________ NAME:_________________________________________________________________________ MAILING ADDRESS:(Street or P.O. Box)__________________________________________ CITY:___________________________________________ STATE:______ ZIP:____________ ============================================================================== Providing the following information is optional, and is at your discretion. WHERE DID YOU RECEIVE YOUR PRESENT COPY OF FBI?_______________________________ ______________________________________________________________________________ YOUR AREA CODE AND TELEPHONE NUMBER: (_____) ___________ - ___________________ ARE YOU A REGULAR USER OF COMPUTER BULLETIN BOARDS: Yes__________ No__________ TYPE OF COMPUTER YOU ARE USING:_______________________________________________ COMPUTER GRAPHICS SYSTEM: MONOCHROME ______ CGA ______ EGA _______ VGA _______ WHAT IMPROVEMENTS COULD BE MADE TO FBI? ______________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Thank you for providing this information. It will be used for future reference in our marketing strategy. ============================================================================== Registration fee: US $20.00; Canada $22.85 _________________________________ AMOUNT ENCLOSED: _________________________________ Please make check or money order payable to: MicroMinded Software Co. PLEASE DO NOT SEND CASH. Mail this form along with your remittance to: MicroMinded Software Co. 13361 Blackbird St. Garden Grove, CA 92643 p.s.: Our telephone number is (714) 638-5916