To register, please return this form with your registration check or
   money order to:

                          Club Software
                      C/O Richard Williams
                          1506 E. 5th St. Apt.#1
                          West Frankfort IL. 62896
                          
   Name:     _________________________________________________________

   
   Address:  _________________________________________________________

             _________________________________________________________

             _________________________________________________________

             _________________________________________________________


   Phone:   (_____)_____-______  (Optional)


   Diskette Size:   3.5 [ ]     5.25 [ ]


   Club Slots Registered Edition. 
   $15.00 U.S. or $20.00 CAN.                            $__________
   (Includes diskette(s), Shipping and Handling)

   Personal Phone Book for Windows Demo. 
   $3.50 U.S. or $5.00 CAN                               $__________
   Note! This charge is subtracted from the
   total when registering Club Slots.             
                                                  TOTAL  $__________

   Make sure Check or money order is payable to:  

   Club Software or Richard Williams.

   Thank you for your support and/or interest in Club Software.