Page 1 of 2 Brainex Registration Agreement ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Registration of Brainex Doors entitles you to unlimited FREE future upgrades. Free upgrades will be in the form of ZIP files, which may be downloaded from the Brainex System BBS. You will be entitled to upgrades ONLY if both pages of this form are signed and received by the Brainex System at the address listed below. If you wish to receive upgrades by mail, there will be a charge of $5.00 per upgrade sent to cover the cost of the disk and shipping. Brainex Doors require the use of the Door Manager. There is a one time registration fee of $10 for the Door Manager. When you register, you'll also receive ONE YEAR SYSOP ACCESS to The Brainex System. Access may be renewed at a rate of $10 per year. To obtain a REGISTRATION NUMBER for a Brainex Door, please fill out the order form below, sign it, then mail it, along with a check, money order, or credit card number to the address below. You will be mailed the registration number. To order online by Credit Card, call Brainex at 310-275-2344 or 310-273-5234 then type ORDER at the Main Prompt! If you wish to have your Registration number posted to you on your BBS, or if you wish to be called by voice, please include an extra $4.00, and you will be called you as soon as your order is processed! If you are local to Los Angeles, you will be called at no charge. Brainex Doors are released "As Is" and there is *NO* warranty or guarantee that they will work for you and not cause any problems. You have chosen to use these doors, YOU are responsible for any problems that may develop from its use or misuse. I can not be held responsible for any problems you may have, whether directly or indirectly due to the use of the door or its utilities or associated files. Please be sure the program works for you before you register! Prices as of 2/16/93. All Prices subject to change. By signing and returning this order, you agree not to distribute any registration numbers to any other individuals or companies. You agree to use registered Brainex Doors on the BBS indicated below only. Sign your name here:____________________________ Date _____________ Please return BOTH pages of this form with your order. * IMPORTANT * Return this form even if you order online. If this form is not on file, you will not be given access to the Brainex System for upgrades! Page 2 of 2 Name : ________________________________________________________________ Address : _____________________________________________________________ City, State, Zip : ____________________________________________________ Voice Phone Number : __________________________________________________ BBS Name: _____________________________________________________________ Please spell the name EXACTLY as it will appear to callers! BBS Phone Number: ________________________ BBS Software:______________ Select door(s) to register: [ ] Rombrain........$45 [ ] Request Brain..$25 [ ] Las Vegas Craps...$25 [ ] Shop Master.....$45 [ ] CallBack Brain.$25 [ ] Star Trek Quiz....$25 [ ] Log Brain.......$25 [ ] Time Brain.....$25 [ ] Planet Adventure..$25 [ ] Show Biz Quiz...$25 [ ] Reader.........$25 [ ] Page Brain........$15 [ ] ComBrain........$25 [ ] Story Brain....$25 [ ] Manual............$15 [ ] Aladdin.........$25 [ ] File Brain.....$25 [ ] Info Door.........$15 [ ] Brainex Door Manager/1 Year Sysop Access $10.00 [ ] Call My BBS With The Registration Numbers $ 4.00 (USA Only) [ ] Call My FAX With The Registration Numbers $ 4.00 (USA Only) [ ] Call Me VOICE With The Registration Numbers $ 4.00 (USA Only) [ ] Mail Registration Numbers To Me N/C [ ] I Will Call The Brainex System For Numbers N/C Total Door Registrations $__________ Grand Total $__________ Payment method (Do not send cash) : [ ] Check [ ] Money Order [ ] American Express [ ] Master Card [ ] Visa [ ] Carte Blance [ ] Diners Club [ ] Discover Credit Card number:__________________________ Expiration Date:_________ Please sign your name here:______________________________________ Send This Form and Payment to: Stanley Sheff 9124 Beverly Bl. Beverly Hills, CA 90210-4016