Software Registration Form
____________________________________________________________________

Name:
[1]
[2]
[3]
Phone/FAX:   [4]       [5]

Email:   [6]

Comments:   [7]  

Payment Method:
[8]
[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]
____________________________________________________________________
Email this registration form to:

John V. Holder                   Email addresses (AOL is preferred):
1734 "S" Street                  America Online:  JohnHolder
Eureka, CA  95501                Internet......:  JohnHolder@aol.com
                                 CompuServe....:  75040,1126
FAX:  (707) 443-3813

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