---------------------------------------------------------------------- Page 1 PCBADJ.EXE Registration Form Page 1 ---------------------------------------------------------------------- PCBADJ.EXE registration is $10.00. Registration entitles you to BBS support. If you use the program regularly, your support is greatly appreciated. You may register PCBADJ.EXE with Check or Money Order, Credit Card payment is not currently available. First & Last Name _________________________________________________ Street Address _________________________________________________ City, State, Zip _________________________________________________ Phone Number _________________________________________________ BBS Number(s) _________________________________________________ Send this form to: Lance Williams P. O. Box 266 Camden, NY 13316-0266