ProAna Registration Form
                    ------------------------

  Send to:           Professional Analyzer
                     c/o RBBS-PC of Fargo
                        P.O. Box 9121
                       Fargo, ND  58109


   Name __________________________________________________

Address __________________________________________________

        __________________________________________________

        __________________________________________________


If you wish to recieve a disk, please enclose $5.00 extra.
Disk format desired (Check one): 5.25"______  3.5"______ No Disk ______

Please check the form of payment:

Check/Money order _______  Visa ________  MasterCard _______


Cardholder Name ____________________________________________

Card Number ________________________________________________

Expiration Date ____________

If you did NOT order a disk:

I hereby authorize $20.00 to be charged to my account as specified
above.

Cardholder Signature ______________________________________
                        (MUST be signed by cardholder)

If you ordered a disk:

I hereby authorize $25.00 to be charged to my account as specified
above.

Cardholder Signiture ______________________________________
                        (MUST be signed by cardholder)

Date _____________

   Thank you for supporting the Shareware concept and ProAna!