 ------------------------------------------------------------------------------
                  IceSoft Utilities Canadian Registration Form
 ------------------------------------------------------------------------------

    The information required for the registration key and where the key will
    be sent to. (Note : All Canadian Registrations to be in CDN Funds) :

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

    Sysop Name  : [__________________________________________________]

    BBS Name    : [__________________________________________________]

    BBS Software: [__________________________________________________]

    Computer    : [__________________________________________________]

    BBS Phone   : (___)_____-________

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

    Real Name   : [__________________________________________________]

    Address     : [__________________________________________________]

    City        : [__________________________________________________]

    Province    : [____________________]  Postal Code : [___-___]

    Voice Phone : (___)_____-________

    Individual Packages                       Price      Amount
    ---------------------------------------------------------------------

    IceBank - Deluxe TimeBank System          $15 Cdn    [    ]
    IceChat - Deluxe SplitScreen Chatter      $15 Cdn    [    ]
    IceEdit - Deluxe FullScreen Msg Editor    $15 Cdn    [    ]
    IceNote - Note To All Users Door          $10 Cdn    [    ]
    IceUser - RemoteAccess Online User Editor $10 Cdn    [    ]
                                                         ------
                                                         ______
    If you have selected more than one package, recieve
    a $3 discount for each *additional* package from
    the *total* cost. Ie:

    1 Package,  $0 discount;  2 Packages, $3 discount    ------
    3 Packages, $6 discount;  4 Packages, $9 discount  - ______

    Shipping Costs
    ---------------------------------------------------------------------

    Send Key via Postage (Disk 3 1/2" Only)    $5 Cdn =  [    ]
    Send Key via Crash Netmail                 $2 Cdn =  [    ]
    I will pick up my key                      $0 Cdn =  [    ]
                                                         ------
    TOTAL COST:                                          ______



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

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

    Session pwd : [________]

    Please Check One : [_] I will poll for my key(s) from Ice Technologies
                       [_] I would like my key(s) to be crashed to me


    If you want your key as user of Ice Technologies BBS
    ----------------------------------------------------

    Account  : [___________________________________]

    Password : [_______________]


    How would you like to pay for the chosen Ice Utilities
    ------------------------------------------------------

    [ ] Money Order  (Payable to - Jeremy Landvoigt)

    [ ] Direct Bank Deposit
                 - If you wish to do a direct bank deposit, please go to
                   the nearest "Toronto-Dominion" Bank, and deposit your
                   registration funds to:

                   Branch : 3098
                   Account: 1695

                   Please forward a copy of your registration form VIA
                   NETMAIL the day PREVIOUS to the deposit, so that I will
                   be able to verify that the funds have arrived, and are
                   from you.

                   Time & Date of Deposit: ______________________________

    [ ] Cheque   - Payable to - Jeremy Landvoigt. You MUST refer to
                   "Registration" in documentation (ICExxxx.DOC)

                   -[Official Use Only]----------------------------------
                   Cheque No.      : __________________  N.S.F. [_] Y
                   Date Of Deposit : __________________         [_] N
                   ______________________________________________________

   Comments/Bug Reports : _______________________________________________

   ______________________________________________________________________

   ______________________________________________________________________



   * Unsigned agreements will NOT be processed.

   Upon receipt of the registration key(s), I hereby promise that I will
   be the only one using this key(s).  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
                                  c/o Jeremy Landvoigt
                                  100 Burling Place
                                  Newmarket, Ontario
                                  Canada L3Y 5W4

