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Text File  |  1996-10-20  |  2KB  |  50 lines
  1.     Fund Manager 9.1 Registration Form
  2.  
  3. Name:     ______________________________________
  4.  
  5. Address:  ______________________________________
  6.  
  7. City:     ________________________    State:  __
  8.  
  9. Zip Code: __________     Country: ______________
  10.  
  11. Any e-mail addresses where you may be reached?
  12. (Internet, Prodigy, AOL, CompuServe, etc.)  
  13. ________________________________________________
  14.  
  15. How did you obtain Fund Manager?
  16. ________________________________________________
  17.  
  18. Any improvements that you would like to see?
  19. ________________________________________________
  20. ________________________________________________
  21. ________________________________________________
  22.  
  23. ************************************************
  24. Registration Fee:                            ___
  25.   New users:                        $23
  26.   Upgrade price:                    $ 5
  27.  
  28. Manual: (Optional)                         + ___
  29.   3.5" diskette:                    $ 5
  30.   America Online or CompuServe:     $ 2
  31.   MS Word 2.0 ____  or  ASCII ____
  32.  
  33. Total Payment Enclosed:                    = ___
  34. ************************************************
  35.  
  36. Please support the shareware concept by sending payment to:
  37.  
  38. Mark Beiley
  39. P.O. Box 51641
  40. Phoenix, AZ 85076-1641
  41.  
  42. E-mail: beiley@aol.com
  43. Phone:  (602) 705-0129 (10am - 9pm PST, 7 days a week)
  44.  
  45. If paying by credit card please fill in the following:
  46.  
  47. Circle one:    Visa    MasterCard
  48. Card Number:________________________
  49. Expiration Date (mm/yy):___/___
  50. Cardholder's Signature:______________________________