Registration Form for the MegaMail(tm) Reader


   Please PRINT THIS INFOMATION CLEARLY.  The phone numbers are so that,
   in case of difficulty with your order, we can contact you.  Failure to
   fill out this order form properly may delay delivery of your registered
   reader.


  First : __________________________  Last Name:_________________________

Address : ______________________     Day Phone:(______) ______-________

        : ______________________ Evening Phone:(______) ______-________

   City : ______________________ State:____  Zip : __________-________


   Please enclose a check or money order, PAYABLE TO KIP COMPTON, for $20.
   If your check or money order is not payable to Kip Compton, we will not
   be able to process your order.  If you are a SysOp and are running the
   MegaMail(tm) Door, you should use the form enclosed with the door to
   register your reader.  If you have any questions, please call us on our
   bulletin board at (703) 690-7361.

               Mail this form to

                                Kip Compton
                                MegaMail Reader Registrations
                                13509 Fowke Lane
                                Woodbridge, VA 22192