                LISTGEN 4.5x REGISTRATION FORM/INVOICE
                        (please print or type)



NAME ________________________________________________________________

COMPANY _____________________________________________________________

ADDRESS _____________________________________________________________

CITY _______________________________ STATE __________ ZIP ___________


Method of payment (U.S. Funds):

______ $20.00 Check/Money Order (Inside the U.S. and Canada)

______ $30.00 Check/Money Order (Outside the U.S. and Canada)

______ $20.00 Visa/MasterCard (Inside the U.S. and Canada)

______ $30.00 Visa/MasterCard (Outside the U.S. and Canada)


Colorado residents must add the appropriate sales tax for your 
location.

=====================================================================

Visa/MasterCard credit card users please complete:


Credit Card Number: _________________________________________________

Expiration Date: ____________________________________________________

Card Holder Signature: ______________________________________________

NOTE:  Credit card charges will show on your invoice as being from 
Professional Computer Sales, Inc. of Littleton, Colorado.

=====================================================================

Send this registration form to:


                               LISTGEN
                        Post Office Box 620247
                      Littleton, Colorado  80162
                       United States of America


                              Thank You!
