
                             REGISTRATION FORM

                     Program: Shut Up And Run The Mail

(Enter information EXACTLY the way you want it, including punctuation and
 capitalization.)


NAME: ____________________________________________________________________

ADDRESS: _________________________________________________________________

CITY:________________________________ STATE/PROVINCE: ____________________

ZIP/POST CODE: ______________________ APT./BOX NUMBER: ___________________


BBS NAME: ________________________________________________________________

SYSOP NAME: _________________________ PHONE NUMBER: ______________________

FIDONET ADDRESS (IF ANY): ________________________________________________

INTERNET ADDRESS (IF ANY): _______________________________________________

COMPUSERVE ADDRESS (IF ANY): _____________________________________________


NOTES/COMMENTS: __________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Send with $30.00 (US) registration fee to:

MICHAEL E. NELSON
1349 ROOSEVELT BLVD.
VINELAND, NJ  08360-6590
