                    WcRIPBRO  Registration Form

With Registration you will receive a fully operational copy of the
latest version of WcRIPBRO on a 3.5" diskette.

OPTION 1 - WcRIPBRO KEYWORD Search Utility - see Read_Me and 
           Manual.DOC for details. 



Name:   __________________________________________


Mailing Address:

        _______________________________________________________

        _______________________________________________________

        City _______________________________ State____  Zip _________

        Home Telephone (___) ___-____   FAX  (___) ___-____

        Data Telephone (___) ___-____  


     Please Use Check or MoneyOrder made out to : 

     Eric Forsman    and mail to

     TravNet! International
     3101 N.E. 71st Terrace
     Gladstone, MO  64119

     (NOTE: Personal Checks will be held 10 days before order is processed
      to insure integrity of check)

          -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-

         Registered WcRIPBRO              $ 29.95    
         KEYWORD Search Option            $ 20.00
         Shipping & Handling              $  4.00
                                        ---------
                Total Remittance      USD $ 53.95

     To Order separately, WcRIPBRO = $29.95 + $4.00 S&H   = $33.95
                          KEYWORD  = $24.95 + $4.00 S&H   = $28.95


     Total Amount Enclosed: $___________


              TravNet! International & Contacts International
      Services of Consorcio para el Mercadeo Directo Internacional, S.A.
                              San Jose, Costa Rica

           U.S.A.                              Costa Rica
     
  Voice     (816) 453-7413           Voice      (506) 232-1670
            (816) 453-0954 
  FAX       (816) 453-9376                      (506) 232-1680
  BBS (BETA)(816) 453-9375

  Internet:  TelNet to COMDINET.COM  (as of 1 Jul 95?)

