                 REGISTRATION APPLICATION


Send to: Centus (tm) Information Enterprise
         Suite 805
         Winston Churchill No. 138
         San Juan, PR 00926
       
         CIS 74404,2774


================================================================= 
Centus (tm)       Product    Price           Qty        Total
=========================    ==========      ===      =========
Counties LITE     All U.S.   $19.95          [  ]     $ 

                           Shipping and Handling**    $ 4.95

                                        Total         $ 

Send check or money order to:  Centus (tm) Information Enterprise.
Checks require 14 days to clear with the bank. Available in 3.5" 
high density format only. ** Orders outside United States must send
$12.00 for S & H. International orders must send payment in U.S.
currency, $.

Ship to:
           Name ____________________________________
        
        Company ____________________________________

        Address ____________________________________

                ____________________________________

           City __________________  State _____  
            
            Zip ___________

            Fax __________________

            Tel __________________


1) DOS used ______________     5) CPU             _________

2) Installed RAM _________     6) Computer Brand  _________

3) Hard disk size ________     7) Have Coprocessor?  ______

4) Modem _________________     8) Have CD ROM     _________

9) Where did you hear about Centus (tm)?___________________

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