BatchMenu Version 3.0C
                      Copyright (c) 1995 Phe Meas
                          All Rights Reserved
                         
                         REGISTRATION/ORDER FORM

  To: Phe Meas                                    BBS: (617) 286-3808
      6 Carol Ave                            Internet: phe.meas@rocks.org
      Boston, MA 02146

From: Name:     _________________________________________________________

      Company:  _________________________________________________________

      Address:  _________________________________________________________

      City:     ___________________________  State: _____ ZipCode: ______

      Country:  _________________________________________________________

      Phone:    ____________________________  Fax: ______________________

      Internet: ____________________________
        
Where did you obtain or hear about the program? _________________________

Computer:       [ ]386             [ ]486             [ ]Pentium

Operating Systems:  DOS ______         Windows ______         OS/2 ______

      Memory Size: __________            Hard Disk Size: __________

P R O D U C T  /  L I C E N S E                     Q T Y   P R I C E  
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| BatchMenu 3.0C                                    |       |   5.00    |
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| T O T A L                                                 |           |
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                [ ] Check                [ ] Money Order

Signature       _______________________________   Date __________________

Comments: _______________________________________________________________