HorM v2.00 Order Form
---------------------

Date: __________________

Name: ___________________________________________________________________

Please print your name clearly as your registration number will be based
on it.

Street: _________________________________________________________________

City: _________________ State/Province:_______________ Zip: _____________

Country:_________________________________________________________________


Phone#: _________________________________________________________________


EMail: __________________________________________________________________


[  ] Please deliver updates via this BBS/Host system!
     ( only 9600bps+ please! )

     BBS/Host Name: _____________________________________________________

     Number(s): _________________________________________________________

     [  ] File attach to message  [  ] Private upload

     [  ] Other _________________________________________________________


Disk format:  [  ] 3.5"   [  ] 5.25"


Registration -------------------------- $20 x quantity ______ = $________
Please see REGBEN.TXT for a list of registration benefits.

Comments: _______________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________


Please make out a check or money order to Daniel Otis and
send it along with this completed registration to:

  Daniel Otis
  DSI
  1889 Lindo St.
  Benicia, CA  94510-2315