                          STATUS Program Registration                                                 
                          ---------------------------

When you register you will be sent the latest version of the STATUS program,   
documentation, and sample databases. After you register, any subsequent        
downloads of later releases of STATUS from bulletin boards do not require      
new registration. The non-commercial single user registration fee for
STATUS is $25.00 US. The commercial/government and multi-system site fee for
STATUS is $100.00 US.                                           
                                                                               
To:                                 From:__________________________________
                       
Visual Systems Workshop             Name:__________________________________                                           
1404 W. Boston St., Suite 301                                                  
Seattle, WA  98119                  (Company):_____________________________                                           
                                                                                
                                    Address:_______________________________

                                    City, State, ZIP:______________________

                                    (Country):_____________________________

                                    Date:__________________________________

                                    Daytime Phone:_________________________


Individual Use (1 computer at a time, 1 user)............  $25  $_________

Multiple Use (2 to unlimited computers on ONE site)...... $100  $_________

Shipping and Handling for US and Canada..................   $5  $_________
                 or
Shipping and Handling outside US and Canada................$10  $_________

Subtotal......................................................  $_________

Washington state residents add applicable sales tax (    %)...  $_________

Total enclosed US funds.......................................  $_________


STATUS (C) Copyright 1993 Visual Systems Workshop & Robert D. Horsefield, 
                         All rights reserved.
