Name _____________________________________________________________
   Address __________________________________________________________
   City ________________________ State/Province _____________________
   Zip/Mail Code _________________ Country __________________________
   Day Telephone (________)__________________________________________
   FAX (________)____________________________________________________
   E-Mail Address: __________________________________________________

   Please set me up with the:
      ____ Silver Saver Plan
           * 1 e-mail address
           * 60 hours/month ($0.99 each additional hour up to an 
             extra $30.00)
           * $14.95/month 
           
      ____ Standard Service
           * 1 e-mail address
           * 1 MB web storage
           * 180 hours/month ($0.99 each additional hour up to 
             an extra $25.00)
           * $18.95/month by CC or $19.95 by invoice 
      
      ____ Softdisk Gold
           * 5 e-mail addresses
           * 5 MB web storage
           * 360 hours/month ($0.99 each additional hour up to 
             an extra $20.00)
           * $23.95/month by CC or $24.95 by invoice
           
      ____ Annual Prepaid Standard Service
           * Same as Standard Service but prepaid annually rather 
             than monthly
           
      ____ Annual Prepaid Softdisk Gold
           * Same as Softdisk Gold but prepaid annually rather 
             than monthly
           
   User-ID/e-mail address (3-8 characters, first character must be a
   letter, all characters must be lowercase, no spaces or symbols, 
   no first names):
   _________________________________________________________________

   Password (6-8 characters, at least 2 must be numerals, no spaces
   or other symbols):
   _________________________________________________________________

   User ID (2nd account):___________________________________________
   Password (2nd account):__________________________________________

   User ID (3rd account):___________________________________________
   Password (3rd account):__________________________________________

   Payment Method:

   _____ Charge my credit card monthly for account usage:
            (  ) Visa/MC  (  ) Discover  (  ) AmEx
            Card # ______________________________________
            Exp. Date ___________________________________
            Signature ___________________________________
   _____ Bill me monthly [add $1 to monthly charges]