         Crazy Larry's Automated Subscription Service Order Form
         Subscription keys register  all wcCode applications for
               Wildcat! 5 for the specified period of time.

            Crazy Larry's Online Art is owned and operated by
           BITWISE COMPUTERS  PO Box 829  Forest Grove, Oregon
         _______________________________________________________
         Please complete this form to the best of your knowledge

         Your Full Name: _______________________________________

         Your BBS Name : _______________________________________
         
         Sysops Name as Entered in wcConfig: ___________________

         Your BBS Registration number in wcConfig: ____-________

         Address : _____________________________________________

         City: ___________________________ State: ______________

         Country: __________________________ Zip: ______________

         Home Phone: _________________ BBS Phone: ______________


           How long would   [ ]  One Month ..............  $5.00
              you like to   [ ]  Three Months ........... $15.00    
         have your wcCode   [ ]  Six Months ............. $30.00
             applications   [ ]  One Year ............... $50.00
              registered?   [ ]  Lifetime Subscription .. $75.00
         _______________________________________________________
          How would you like to receive your subscription key?

         [ ] Via Crazy Larry's Online Art BBS
             Please provide your user name _____________________

         [ ] Via MIME-Encoded Internet E-Mail (fastest)
             E-Mail Address ____________________________________

             How would you like to pay for this subscription?

                 [ ] Check          [ ] Visa        
                 [ ] Money Order    [ ] Master Card                                     
             
         Card Number: _____ _____ _____ _____   Expires: ___/___

         Name on Credit Card: __________________________________

                  If paying by check, or Monery Order,
                  make it payable to BITWISE COMPUTERS

                      Send this completed form to:
  
                            BITWISE COMPUTERS
                              P.O. Box 829 
                            Forest Grove, OR
                               97116-0829

         By using any C.L.O.A. product, you assume all liability
         for it.   The author cannot be held responsible for any
         damages that may  result from the use, or misuse of any 
         program.  Furthermore, the author reserves the right to
         stop the production of wcCode applications at any given
         time without any prior notice.  
