              BWSB REGISTRATION FORM - PLEASE PRINT NEATLY
     STANDARD AND ADVANCED EDITION ONLY (contact author for commercial)

         Mail to:       Edward T. Schlunder
                        554 North Acacia Road
                        Apache Junction, AZ 85219-4313
                        U.S.A.

           (all information here is for our own records only)

        __________________________________________________________
        [first name             middle name             last name]

        __________________________________________________________
        [mailing address                                         ]

        __________________________________________________________
        [additional address info (suite, apartment, country, etc)]

        __________________________________________________________
        [city                     state                       zip]

        __________________________________________________________
        [daytime phone #        evening phone #             fax #]

        __________________________________________________________
        [age             occupation                    bbs handle]

        __________________________________________________________
        [internet address         fidonet address     other email]
        __________________________________________________________
        [date received (office use)     order filled (office use)]

        I have read the included license agreement and agree to
        abide by its terms:

        __________________________________________________________
        [your signature                                      date]

       * PRICES MAY CHANGE! [If this shareware release is over a  *
       *                     year old, write for current pricing] *

           Standard Edition  - U.S. $30 x Qty: ____ = $_____
           (example source code only)

           Advanced Edition  - U.S. $50 x Qty: ____ = $_____
           (all source code included)
           Shipping and Handling is U.S. $5      S&H: $__5__

           Media:   [ ] 1.44M     [ ] 1.2M     Total: $_____

                    Please make payable to: Edward Schlunder

             United States and Canada pay with check,  money
           order, or U.S. dollars (not recommended). Foreign
           orders must send money order or U.S. dollars (not
           recommended). Do not send foreign cash or checks!

             We will not be responsible for lost, stolen, or
           misdirected registrations. If you send U.S. cash,
           it may well be stolen through the postal service.


                SURVEY INFORMATION - CHECK ALL THAT APPLY
                 (this part of registration is optional)

    ->  Compiler(s) you use:

        [ ]     Borland/Turbo C/C++      [ ]    Watcom C/C++ 32bit
        [ ]     Turbo Pascal             [ ]    MS BASIC 7.x
        [ ]     Borland Pascal           [ ]    Visual Basic for DOS
        [ ]     QuickBASIC 4.5           [ ]    Assembly Language
        [ ]     PowerBasic 3.x           [ ]    Microsoft C/C++

        [ ]     Other:____________________________________________

    ->  Main use for BWSB:

        [ ]     Games                    [ ]    Demos
        [ ]     Learn more about ASM     [ ]    BBS Ads
        [ ]     Intros                   [ ]    Module Players

        [ ]     Other:____________________________________________

    ->  Reason for choosing BWSB above other libraries:

        [ ]     Price is right           [ ]    More extensive interface
        [ ]     Better author support    [ ]    Supports your compiler
        [ ]     Tryable before buying    [ ]    Most overall features
        [ ]     Better documentation     [ ]    Better optimization
        [ ]     Source code is available

        [ ]     Supports module format(s): _______________________

        [ ]     Supports sound card(s): __________________________

        [ ]     Other:____________________________________________

    ->  Sound card(s) you have:

        [ ]     Gravis UltraSound        [ ]    AdLib
        [ ]     Gravis UltraSound MAX    [ ]    Aztech WaveRider 32
        [ ]     Gravis UltraSound ACE    [ ]    Pro Audio Spectrum
        [ ]     Sound Blaster 1.xx       [ ]    Pro Audio Spectrum+
        [ ]     Sound Blaster 2.xx       [ ]    Pro Audio Spectrum 16
        [ ]     Sound Blaster Pro        [ ]    Covox (or other DAC)
        [ ]     Sound Blaster 16         [ ]    Windows Sound System
        [ ]     Sound Blaster AWE32             or compatible snd card

        [ ]     Other:____________________________________________

    ->  Additional comments/praising about BWSB:

        __________________________________________________________

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