BC/Outline Registration Form
----------------------------

       Name: ______________________________________________

    Company: ______________________________________________

    Address: ______________________________________________

City, State: ____________________________ Zip _____________
                                             
    Country: _______________________  


Indicate desired programs:

       BC/Outline:            ____ copies X $19.00  ________

       Add $2 ($4 overseas) shipping for disk with 
       latest version of BC/Outline.
       (specify disk size ___3.5"___5.25") Qty:___  ________

                                              TOTAL ________

Checks or money orders in US funds drawn on US banks only.

Please send payment to:         
                                 
  Bob Clemens, Millenium/3 Systems
  900 Mix Ave #82
  Hamden, CT 06514

  (203) 287-1870 
                             
Comments: