Software Registration Form             Purchase Order     
                                             Date:________
____________________________________________________________________
Name:
[1]
[2]
[3]
Phone/FAX:   [4]       [5]

Email:   [6]

Comments:   [7]  

Payment Method..........:   [8]
Purchase Order #.......:   [9][10][11]

Products Ordered:
([12]) QuickScrap ($15 each)........................:   [13]
([14]) ScrapIt Pro ($20 each).......................:   [15]
([16]) QuickScrap & ScrapIt Pro ($30 each):   [17]
([18]) QuickPop ($10 each)...........................:   [19]
([20]) ViewFont ($5 each)..............................:   [21]
([22]) ColorFall ($10 each)...........................:   [23]
([24]) Escape! ($10 each)..............................:   [25]
([26]) SideMinder ($10 each)........................:   [27]

Quantity Discount...........:   [28]
Send Latest?...(adds $5):   [29]
Disk Size (800k or HD):   [30]
Sales Tax (CA Only).......:   [31]
Note: Sales Tax is only
collected if you've requested
a disk and you live in
California

Total Due.........................:   [32]

[33]
____________________________________________________________________
Please send this form to:

John V. Holder                                                           Email addresses (AOL is preferred):
1734 "S" Street                                                         America Online:  JohnHolder
Eureka, CA  95501                                                   Internet...........:  JohnHolder@aol.com
USA                                                                            CompuServe....:  75040,1126

FAX:  (707) 443-3813

Home Page:   http://www.northcoast.com/~jvholder
(check for the latest new releases and updates!)