
                                Network Trainers
                                  Registration

Fill out this order form and enclose your Registration fee(s) (Check or Money
Order.Cash is acceptable but the risk is up to you in mailing it.I Suggest no
amount greater than $10 cash).Make Payment out to DAVID JURY.Please Enclose
a BLANK 3.5" or 5.25" FORMATTED Diskette with a S.A.S.E and send to :

                                   DAVID JURY
                                  P.O. BOX 658
                                   DIGHTON,MA
                                     02764

    Please allow a maximum of 14 days for your Trainer(s) to arrive.


User Name :                            Sex :         Age :

Occupation :

Network ID,Email Address :

Home Address :

 Street -
 City   -
 State  -
 Zip    -

Phone Number : (  ) -    -

Trainer(s) you are Registering :       Amount Paid (Registration Fee) :

  Name :                              $  .
  Name :                              $  .
  Name :                              $  .
  Name :                              $  .
  Name :                              $  .

                                      Total $$ :


                                User Information

Where did you obtain the Trainer from (name of Network,BBS or other) ?



Why do you use Trainers?



What games would you really like to see Trainers for ?



Additional Comments ?



                          Thank you for your Support.



