                            SiteTrak  
Please answer the registration questionnaire below and return this form with 
your cash, check or money order to :

In The USA:                      
	Lincoln Beach Software          
	P.O. Box 1554                   
	Ballwin, MO 63022               
        Phone: (314) 861-1500                                      (0913TXT)

Firm      ______________________________________________________________ 
Cust. Name______________________________________________________________ 
Address   ______________________________________________________________ 
	     ______________________________________________________________ 
	     ______________________________________________________________ 
 
 Phone (_____)_____-______  Occupation _________________________________ 
 Compuserve ID: ______________  Internet ID: ___________________________ 
 Type of computer(s) you own ___________________________________________ 
 Windows version  ________ 
 Where did you get SiteTrak from: 
 BBS Name ___________________________________ Number (_____)_____-______ 
 WWW location __________________________________________________________ 

     Single User License........________ QTY X ... $ 29.00 ea  $ _______ 

     Multiple User License.....................$CALL FOR QUANTITY PRICING 
    
    
       Email Address to send codes to:________________________ 
	
 Total Enclosed ......................................... $ ____________ 
 Checks and money orders must be drawn on a U.S. bank.  Please send all  
 payments payable in U.S. Dollars. 
 
 If you could add something to SiteTrak what would it be? 
 _______________________________________________________________________ 
 _______________________________________________________________________ 
**************************************************************************** 
                             Code: 0916TXT  
