			      E-Z Access Software Ltd.		  Form2
				    P.O. 395			    7/95
			      Calais, ME   04619-0395
 GST: 899971750RT

	 Registration/Order Form For EZ-Index for National Geographic.

    Use this form for "ALL" Credit Card orders placed through E-Z Access
    Software Ltd. and all Canadian money orders and checks.

 Name: __________________________  Company: _______________________________

 Address: ____________________________________ Apt:# ______________________
								M    D    Y
 Street: ________________________________ Ctry.__________ Date:___/___/____

 City: ________________________________ State/Prov: ______________________

 Zip/Code: ___________ Phone: _____-_______-_________ Home []  Work []

  Software will be shipped on a 3" HD diskette unless otherwise specified.
  Disk size: 5LD 360kb []   5HD []   3DD []

			 (Please check one [x] )	 CAN. funds
  [ ] For the period Jan/1960 to the present ----  v1.60 - $19.95 = $
  [ ] For the period Jan/1965 to the present ----  v1.65 - $18.50 = $
  [ ] For the period Jan/1970 to the present ----  v1.70 - $17.00 = $
  [ ] For the period Jan/1975 to the present ----  v1.75 - $15.75 = $
  [ ] For the period Jan/1980 to the present ----  v1.80 - $14.50 = $
  [ ] For the period Jan/1985 to the present ----  v1.85 - $13.00 = $
  [ ] For the period Jan/1990 to the present ----  v1.90 - $10.65 = $ ________

      EZ-Index v1.50 covers the period of Jan/50 to Dec/59
  [ ] If EZ-Index v1.6X5 (includes EZ-Index v1.50) - $26.95 --> $ ________
      [(v1.50)  $7.00 + (v1.60) $14.95 = $26.95 + S/H]
      If ordered separatly use $8.00
  [ ] EZ-Index v1.50 Jan/1950 to Dec/1959 - $ 8.00 --------->   $ ________
      (only available to registered user of EZ-Index v1.60)

  Deduct 10% if a registered user of another E-Z Access Software
  product. Other product? ______________________________________    $ ________
  (ONLY applicable when order is placed through E-Z Access Ltd.)

  Registered Users Only:
  If an update what is the version # and last month indexed in
  your registered copy? v ____ M ____ Y ____ Updates are $9.25  --> $ ________
				      Shipping and Handling  -----> $    4.00
								     ---------
       Add 7% GST to all Canadian orders (addresses):     ------>   $ _________

  Add 11% PST to all New Brunswick orders (addresses):   ------->   $ ________

 Signature:______________________ Total Enclosed or charge to card  $ ________

 Check One: Visa[] - MasterCard[] #_______________________ Expiry Date:___/___

 Cardholder's Name as appears on Bank Card: _________________________________
							 (print)
  In Canada send this form to:  E-Z Access Software Ltd.
				5185 Hwy. 127,
				R.R. 2 Saint Andrews, NB.  E0G 2X0
