REGISTRATION FORM FOR JTS BRIDGE SYSTEM SOFTWARE


NAME:_____________________________________________________________________

COMPANY:__________________________________________________________________

STREET ADDRESS:___________________________________________________________

2ND STREET ADDRESS:_______________________________________________________

CITY:_____________________________________________________________________

STATE/PROV.:______________________________________________________________

COUNTRY:_____________________________POSTAL CODE/ZIP:_____________________

E-MAIL ADDRESS:___________________________________________________________


NAME ON VISA CARD, IF NOT ABOVE:__________________________________________

VISA CARD NUMBER__________________________________________________________

VISA CARD EXPIRY DATE_________________SIGNATURE___________________________
(Please sign above if you want to surface mail this form, but pay by VISA.)

IF YOU ARE PAYING BY VISA CARD, PLEASE COMPLETE THE ABOVE AND SEND THIS 
FORM AS E-MAIL TO: TSLEMKO@ISLAND.NET , OR COMPOSE A MESSAGE WITH THE SAME
INFORMATION AND SEND IT TO ME AT THE ABOVE ADDRESS, OR MAIL IT TO US WITH
A SIGNATURE, IF YOU PREFER. 
SORRY, BUT WE CAN'T ACCEPT ANY OTHER CREDIT CARDS AT THIS TIME, BUT WE ARE
WORKING ON IT - EMAIL ME TO GET THE LATEST INFORMATION - TSLEMKO@ISLAND.NET.

WITH ANY OTHER PAYMENT TYPE, PLEASE SEND THIS COMPLETED FORM ALONG WITH 
$30.00 U.S. OR $35.00 CAN. TO:

                       JTS MICRO CONSULTING LTD.
                       RR # 4, 10931 LYTTON ROAD,
                       LADYSMITH, B.C.
                       CANADA
                       V0R 2E0
                       
Acceptable payments include: (Please check which one you are using.)

                          1. U.S. dollar money order or check.
                          2. Canadian dollar money order or cheque.
                          3. Personal check in your currency equivalent 
                             to $30.00 U.S.
                          4. Cash.   
                          5. Visa or Mastercard Checks.
                             Note: You can obtain Visa or Mastercard checks
                             from your banking institution. These can be
                             used like regular checks.
                          6. Visa Card.
A disk containing the customized program and support files will be mailed to
you immediately. Thanks for your support.