COM/IP Registration
                           ___________________

                         PC Micro Systems, Inc.
                         1879 Campbell Ave.
                         Thousand Oaks, CA. 91360

                         (805) 493-8388

  This registration form is for users wishing to order COM/IP by
  mail using check or money order.

  If you perfer to wire the payment directly to our bank account,
  or use a credit card, then visit http://pcmicro.com/comip/order

  For fastest processing, please send either a Company Check or a
  Money Order made out to "PC Micro Systems, Inc". Personal checks
  will take longer to process as they will need to clear the bank
  first.


     Your name: __________________________________________________

     Street: _____________________________________________________

     City:   __________________________ State: _______ Zip: ______

     Name of your Company (or BBS): ______________________________

     Your email address: _________________________________________


     Voice Telephone number  (_____) _____________________________

     Fax Telephone number    (_____) _____________________________

     Notes: ______________________________________________________

     _____________________________________________________________

                                  Prices:

                Description                     Part-#      Price
      +------------------------------------------------------------+
  [ ] | Single Computer License (255 nodes)  |  CI3R-1  |    $86   |
  [ ] |  5-Pack (5 computer license)         |  CI3R-5  |   $395   |
  [ ] | 10-Pack (10 computer license)        |  CI3R-10 |   $774   |
  [ ] | 20-Pack (20 computer license)        |  CI3R-20 |  $1548   |
      +------------------------------------------------------------+
           For larger quanities, please email sales@pcmicro.com



  Make US check or money order payable to: "PC Micro Systems, Inc."
  Credit Card and wire transfer payment options are also available from
  our web site at http://www.pcmicro.com/comip
  
  Your registration number will be emailed to you the SAME DAY your
  Company Check or Money order arrives. Please allow time for personal
  checks to clear the bank.