LASTMAIL REGISTRATION
---------------------


NAME _____________________________________________________________________

ADDRESS __________________________________________________________________

CITY ______________________________ STATE _________________ ZIP __________

VOICE PHONE (______)____________________ BBS PHONE (______)_______________

If you are downloading your copy: Birthdate ___________ Password__________


CUSTOM INFORMATION :

What is the name of your BBS ? ____________________________________________

What type of picture do you want ? ________________________________________
[space for a sketch]












Please check one:

____  I have enclosed a check for $8 for my registered CUSTOM copy of
      LASMAIL.EXE. This copy will be mailed to me on a (circle one
      5.25 or 3.5) disk.
     

____  I have enclosed a check for $5 for my registered CUSTOM copy of
      LASMAIL.EXE. I will download this from your BBS. I will recieve
      a notice in the mail when it's ready. 312-646-6616

Make check out to STEVE MARTINEZ

Send it to:   UP ALL NIGHT BBS   
              C/O Steve Martinez
              12858 S. Carondolet Ave.
              Chicago, Illinois 60633