Convert Version 1.0 Utility Registration Form


Name:___________________________________________________________

Address: _______________________________________________________

City: ______________________  State: _____  Zip: _______________



Convert Utility:  $19.95                             $__________

Sales Tax - Georgia residents only ( 5%)             $__________

Shipping & Handling:  $1.95                          $__________

                                  Total Enclosed     $__________

Send Check or money order payable to:

		GEP Software
		P O Box  1541
		Tucker, GA  30085-1541


Program will be sent on 5.25" Low Density Disk
Only US FUNDS Accepted

Please allow up to 21 days for delivery.