MAIL TO:  Carl J. Hafner             
             RR 2, Box 184C             -------------------------------
             Hawley, PA. 18428            REMIT TO:   Carl J. Hafner
                        U.S.A.          -------------------------------
             ATTN: Belef        


                    REGISTRATION FORM FOR BELEF VERSION 2.03d
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 [  ] Please register me as a BELEF user. I am enclosing $15.00 plus

      Check one:
      ----------
      [  ] $3.50  - materials/shipping/handling  (U.S. & CANADA)
      [  ] $4.50  - materials/shipping/handling  ( OTHER )
      [  ] A Floppy disk, floppy mailer, sufficient U.S. Postage.

      to cover the terms of registration.

            SORRY, NO PERSONAL CHECKS ON ORDERS OUTSIDE OF THE U.S.

      By sending in this registration form you are stating that you
      understand and agree with ALL terms set forth in the main
      documentation.

   NAME:        ___________________________________________________________

   ADDRESS:     ___________________________________________________________

                ___________________________________________________________

                ___________________________________________________________

                ___________________________________________________________

   E.MAIL:      ___________________________________________________________

   SIGNATURE:   _________________________________ DATE: ___________________

   Comments:  _____________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

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   Please feel free to include any changes you would like to see added or
   any possible bugs you may have found.  Thank You !

              BELEF is (C) Carl J. Hafner. ALL RIGHTS RESERVED