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  1. v2.42                     C H E X   F E E D B A C K
  2.  
  3.  
  4. Name _____________________________________  Home phone _________________
  5.       (optional name/address information)
  6.  
  7. Street _______________________  City ______________  ST ___  ZIP _______
  8.  
  9.                    _           _          _         _          _
  10.    PC Type:       |_| PC      |_| XT     |_| AT    |_| PS/2   |_| 386
  11.                    _           _          _         _
  12.    Graphics:      |_| CGA     |_| EGA    |_| VGA   |_| Hercules
  13.                    _           _          _
  14.    Disk storage:  |_| 5.25    |_| 3.5    |_| Hard disk
  15.  
  16.                    _                  _               _
  17. CheX came from:   |_| CompuServe     |_| GEnie       |_| Friend
  18.                    _
  19.                   |_| Other ____________________________________________
  20.                    _                  _               _
  21. CheX is used:     |_| Personal use   |_| Business    |_| Printing checks
  22.                    _                  _               _
  23.                   |_| Most days      |_| Each week   |_| Each month
  24.  
  25. Number of CheX books: ______  Biggest book has ______ items. (number of)
  26.  
  27. Desired features:
  28.    _                                  _
  29.   |_| Automatic entries              |_| Display in check number order
  30.    _                                  _
  31.   |_| Improved check printing        |_| Additional reports
  32.    _                                  _
  33.   |_| Improved search capability     |_| Optional item comment line
  34.    _                                  _
  35.   |_| User specified checkbook name  |_| Specified disk drive/path name
  36.    _
  37.   |_| Increase dollar amount sizes
  38.  
  39.  
  40.   Other:  ______________________________________________________________
  41.  
  42.           ______________________________________________________________
  43.  
  44.           ______________________________________________________________
  45.  
  46.  
  47. Contribution amount:  $ __________  ($20.00 suggested but not required.)
  48.  
  49.   Note:  CheX is my hobby.  Please enjoy using it as I enjoy writing it.
  50.          You can print this form from CheX by pressing <F7>, option "F".
  51.  
  52.  
  53. Please return to:        ------------------------------
  54.                          |   RICHARD WEBB YOUNG   952 |
  55.   label cut out - ->     |   6060 ASHLEY PLACE        |
  56.                          |   GOLETA, CA  93117-1773   |
  57.                          ------------------------------
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