Registration Form Please take the time out to fill out this registration form. It is not required, but it would help us better serve you in the event of a problem with the CD, BBS file listing, ThePier database, or a particular software application. Also, by popular demand we will be offering an AUTO Pier Shareware Program which will allow you to receive a new CD as soon as it is released, for those of you that must have The Pier Shareware CD as soon as it is released. This program is only available to credit card holders. Please check the appropriate box, and fill out all of the registration form if you wish to participate in this program. Thank you for taking the time to fill out this form. Mail To: The Pier Exchange 346 Bedford Buffalo, NY 14216 Please Print Business Name ______________________________________________________ Your Name __________________________________________________________ Address ____________________________________________________________ Address ____________________________________________________________ City, State, Zipcode _______________________________________________ Country ____________________________________________________________ Phone # ____________________________________________________________ Fax # ______________________________________________________________ BBS # ______________________________________________________________ Would you like to be placed on the AUTO Pier Shareware Program _ _ Yes |_| No |_| If yes please fill out the remainder of this form. AUTO Pier Shareware Program Credit Card holder Name ____________________________________________ Credit Card # ______________________________________________________ Expiration Date _____________________________________________________ Billing Address of Card Holder if different from above. ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ I the card holder grant The Pier Exchange to charge my credit card for a sum not to exceed the retail price plus shipping and handling under the AUTO Pier Shareware Program. Card Holder Signature ____________________________ Date / / ------------