
 -----------------------------------------------------------------------------
                    Ice Utilities American Registration Form
 -----------------------------------------------------------------------------

   The information needed for the registration key and where the key will
   be sent to:

   BBS Information:
   ----------------

   Sysop Name  : [__________________________________________________]
   (Exactly as it appears in your BBS configuration!)
   BBS Name    : [__________________________________________________]

   BBS Software: [__________________________________________________]

   BBS Version : [__________________________________________________]

   Computer    : [__________________________________________________]

   BBS Phone   : (_____)_____-________

   Modem Type & Speed : [___________________________________________]

   Address Details:
   ----------------

   Name        : [__________________________________________________]

   Address     : [__________________________________________________]

   City        : [__________________________________________________]

   State       : [_________________]  Zip Code: [____________]

   Country     : [_________________]  Voice Phone : (_____)_____-________

    Prices below are for cash, money orders, American checks,
    or bank transfers [via our online our online checking door]
    (NO OTHER CHECKS THEN ABOVE!)

   Programs registering: IceBank, Deluxe TimeBank System     [ ] $15
                         IceChat, Deluxe Splitscreen Chatter [ ] $15
                         IceEdit, Deluxe FullScreen Editor   [ ] $15
                         IceNote, Note To All Users Door     [ ] $10
                         IceUser, RA/PB Online User Editor   [ ] $10

   Payment method:       Cash                                [ ]
                         Check/Money Order                   [ ]
                         Bank transfer (via online door)     [ ]

                          Total registration cost (US$)    ________

   Make checks or money orders payable to: "Silverado Computer Services"

    You can register online through our credit card door - or, online
    check writing door - or send the completed credit form below.
    NO registrations will be forwarded until credit card and/or
    checking account numbers have been verified!  Also remember that a
    completed registration form (this document) must be either uploaded,
    mailed, or netmailed (CRASHMAIL ONLY!) to me prior to receiving
    your key(s).

    IF PAYING BY VISA/MASTERCARD, THE FOLLOWING PRICES APPLY :

Programs registering:      IceBank, Deluxe TimeBank System     [ ] $17
                           IceChat, Deluxe Splitscreen Chatter [ ] $17
                           IceEdit, Deluxe FullScreen Editor   [ ] $17
                           IceNote, Note To All Users Door     [ ] $12
                           IceUser, RA/PB OnLine User Editor   [ ] $12

  *********** ALL CREDIT CARDS WILL BE BILLED IN AMERICAN DOLLARS ***********
            The following information will be needed for processing:

            Username: ___________________________________

            Cardtype: Visa/MasterCard ________

            Cardowner: __________________________________
            (EXACTLY as name appears on card)

            Cardnumber:____-____-____-_____

            Expiration: (00/00): ____

  You can expect your key to be ready 2 - 3 days after I receive your payment.

  ***** PLEASE DO NOT POLL BEFORE THIS OR YOU WILL BE DISAPPOINTED! ******

   If you want your key by mail (Include additional $5US for Disk)
   ----------------------------
   Disk format : [ ] 3.5"
                 [ ] 5.25"

   If you want your key by "polling" - Fidonet Node number Required
   ----------------------------------------------------------------

   Node number : [_____] : [_____] / [_____] . [_____]

   Session pwd : [________]

   My FIDO addresses are:

   1:3618/11 - ZyXEL 19.2/v.32bis.  Open to new callers - like you <g>
   1:3618/22 - V.FC 28.8/v.32bis.   Open ONLY to subscribing members.

   Both nodes are available for FREQs and mail.  If wanting to sign on to
   use our credit card door or checking door, 1:3618/22 (904-532-1158)
   is the only node available to you.



   Please Check One :  [_] I will poll for my key from The Silverado BBS

                       [_] I would like my key crashed to me
                           (Nodes ONLY - NO points!!

   Comments/Bug Reports : _______________________________________________

   ______________________________________________________________________

   ______________________________________________________________________

   ______________________________________________________________________

   ______________________________________________________________________

   ______________________________________________________________________


   Upon receipt of the registration key, I hereby promise that I will
   be the only one using this key.  I will not give it out to anybody,
   no matter how much they beg and cry, it is for my use only.

   I understand that if I give this key out, or it is removed from my
   possession, I am in violation of this agreement.  I also understand
   that upon violation of this agreement, legal action may be taken
   against myself.


                  ______________________________  ___/___/_____
                     (Your signature, in ink)        (date)


   Send your registration to :    IceSoft Registration
                                  David J. Silver
                                  1412 Winterville St
                                  Deltona, FL 32725
