
 Quick Registration for P.C. Consulting's DMD.COM & MMD.COM shareware programs
===============================================================================

Please answer as many questions as possible and return this form with your
registration check or cash to :


                             P.C. Consulting
                             Box 1440
                             Pebble Beach, CA.
                             93953-1440 


 1. Your name ________________________________________________________________

 2. Your address _____________________________________________________________

 3. Release my name & address to other shareware authors (circle)     YES - NO

 4. Your phone _______________________________________________________________

 5. Type of computer(s) you own ______________________________________________

 6. Type of modem you own __________________________ Speed ___________________

 7. Type of program you enjoy most (Games, utilities, etc.) __________________

 8. Occupation _______________________________________________________________

 9. Are you a SYSOP or CO-SYSOP (circle)  NO - YES ___________________________

 A. Age ______________________________________________________________________

 B. Sex ______________________________________________________________________

 C. Name of BBS where you got DMD200.ARC _____________________________________

 D. Number of BBS where you got DMD200.ARC (Include AREA CODE) _______________

 E. How do you like DMD.COM & MMD.COM (circle)    GREAT! - PRETTY GOOD! - YUK!

 F. Comments & Suggestions for DMD or MMD or a program you would like to see

    __________________________________________________________________________

    __________________________________________________________________________


    Registration type (circle)  PERSONAL -  $5.00   -------->  _______________
               
                                BUSINESS -  $5.00   -------->  _______________

                                SITE LIC - $20.00   -------->  _______________

    Source code requested ---------- YES -  $5.00   -------->  _______________
                                    
    For SOURCE CODE include disk or send    $0.50   -------->  _______________

    TOTAL Enclosed ........................................... _______________


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                            Thanks for your support
