RTX REGISTRATION FORM To register, please fill out the form below, sign it, and mail it along with your $30.00 check or money order made payable to "Cyberphilia, Inc." to: Cyberphilia, Inc. 1465 Midland Avenue Bronxville, NY 10708-6035 --------------------------------------------------------------------- Name: ________________________________________________________ Company: ________________________________________________________ Address: ________________________________________________________ ________________________________________________________ City: ________________________ State: ____ Zip: ____________ Telephone: ________________________________________________________ Below, please indicate the media format you prefer to receive the Rtx Source Code on, which will be sent to you upon receipt of this registration (check one): [ ] 360K 5-1/4" [ ] 1.4MB 3-1/2" [ ] 1.2MB 5-1/4" NON-DISCLOSURE AGREEMENT In consideration of being made privy to confidential information pertaining to the computer source code and internal design of Cyberphilia, Inc.'s "Rtx Professional Toolbox," I hereby agree not to disclose this information to third parties and to treat this information as a trade secret belonging to Cyberphilia, Inc. _________________________________________ (Signature) ______________________ (Date)