
                    Shuttle to BBS Registration Form
                ---------------------------------------


PLEASE PRINT CLEARLY

 NAME :                         
            _____________________________________________________

 DOB :
              (____/____/19_____)


 ADDRESS :
            _______     _________________________________________
            Apt. #                Street
             
            ____________________________   _____    _______-_____
                   City                    State         Zip
                 
REGISTRANTS
 SIGNATURE :
   
              ___________________________________________________


REGISTERED TO: __________________________________________________


PHONE :
        Voice (_____)_______-_________
   
         Data (_____)_______-_________  

          Fax (_____)________-________


HOURS CAN BE REACHED: ___________________
PLEASE SPECIFY TIME ZONE.

*****************************************************************
ALL PRODUCT PAYMENTS MUST BE IN UNITED STATES DOLLARS. EITHER IN
THE FORM OF A CHECK OR MONEY ORDER. ALL FOREIGN CUSTOMERS
CALL ONE OF OUR SUPPORT SYSTEMS (SEE DOCS FOR LIST) ENTER A
COMMENT TO THE SYSOP FOR MORE INFORMATION ON FOREIGN COPY.
BBS LANGUAGE IS AMERICAN ENGLISH.
*****************************************************************










 Cost :



UNITED STATES:
        StoBBS................5..(___)......@ $10.60 EACH+SHP.
        StoBBS................3..(___)......@ $12.50 EACH+SHP.
         ".........."..BOTH MEDIUMS..........@ $15.20 EACH+SHP.
        Upgrade...............5..(___)......@  $3.75 EACH+SHP.
        Upgrade...............3..(___)......@  $5.00 EACH+SHP.
          
 Canadian:
        StoBBS................5..(___)......@ $15.00 EACH+SHP
        StoBBS................3..(___)......@ $16.00 EACH+SHP
         ".........."..BOTH MEDIUMS..........@ $19.00 EACH+SHP
          Upgrade.............5..(___)......@  $4.75 EACH+SHP.
          Upgrade.............3..(___)......@  $6.00 EACH+SHP.
   
Foreign:
         StoBBS................5..(___)......@ $20.75 EACH+SHP
         StoBBS................3..(___)......@ $23.85 EACH+SHP
          ".........."..BOTH MEDIUMS..........@ $26.93 EACH+SHP
         Upgrade...............5..(___)......@  $5.75 EACH+SHP.
         Upgrade...............3..(___)......@  $7.00 EACH+SHP.

 Shipment:
        U.S. & CANADA..SNAIL..MAIL...........@ $ 3.00 * EACH
        Foreign Shipment Cost.....(___)......@ $ 5.00 * EACH
                  
 Included :     Payment of  $ _________
                Money Order (___)
                Check       (___)          
     
%% NOTE %% Please address checks or money orders to 
                Steven P. Lewkowicz

MAIL TO:   Stephan Lewkowicz  :*!*  
           METHOD TIMESTUDY COORD
           Bridgeport Machines Incorporated
           P.O. Box 32
           Bridgeport, CT 06601












