			     E-Z Access Software Ltd.		   Form1
				   P.O. 395			      7/95
			      Calais, ME  04619-0395

	  Registration/Order Form For EZ-Index for National Geographic.

	  Use this form for "ALL" U.S. money/postal orders and checks

 Name: _______________________________  Company: __________________________

 Address: ____________________________________ Apt:# ______________________

 Street: __________________________________________________________________

 City: _________________________________State: ______ Country: ____________

 ZIP: _____________ Phone: _____-______-___________  Home []   Work []

   Software will be shipped on a 3" HD diskette unless otherwise specified.
   Disk size: 5LD 360kb []   5HD []   3DD []

			  (PLEASE CHECK [X] ONE)      U.S. Funds
  [ ] For Jan/1960 to the present --  v1.60  -- $14.95 ---------> $
  [ ] For Jan/1965 to the present --  v1.65  -- $13.95 ---------> $
  [ ] For Jan/1970 to the present --  v1.70  -- $12.95 ---------> $
  [ ] For Jan/1975 to the present --  v1.75  -- $11.95 ---------> $
  [ ] For Jan/1980 to the present --  v1.80  -- $10.95 ---------> $
  [ ] For Jan/1985 to the present --  v1.85  -- $ 9.95 ---------> $
  [ ] For Jan/1990 to the present --  v1.90  -- $ 7.95 ---------> $ ________

       (EZ-Index v1.50 includes Jan/1950 to Dec/1959)
  [ ] If EZ-Index v1.6X5 (includes EZ-Index v1.50) - $19.95 -> $ ________
      [(v1.50)  $5.00 + (v1.60) $14.95 = $19.95 + S/H]
  [ ] EZ-Index v1.50 Jan/1950 to Dec/1959 -- $ 6.00 ---------> $ ________
      (Only available to registered user of EZ-Index v1.60)
						       SUB total  $ ________

  Deduct 10% if a registered user of another E-Z Access Software
  product. Other product? ______________________________________  $ ________
  (ONLY applicable when order is placed through E-Z Access Ltd.)

  For registered users only:
  If an update what is the version # and last month indexed in
  your registered copy? v ____ M ____ Y ____ Updates are $6.95 -> $ ________

				Shipping and Handling    -------> $     4.00
								  ----------

						 TOTAL Enclosed   $_________
	 M    D     Y
  Date: ____/_____/_____	Signature:_________________________________

		      ALL Credit Card orders use form2

  In Canada send to: E-Z Access Software Ltd.
		     5185 Hwy.  127,  Bocabec,
		     Saint Andrews, NB  E0G  2X0
