Double Check It Lite™ Registration Form
1902 Fox Sterling Drive, Raleigh NC, 27606-2725
Phone - (919) 854-2511, Fax - (919) 851-2298
Shipping Information:

Name:__________________________________

Address:________________________________

City:____________________________________

State: ___________ Zip: _____ Country:________

Phone:________________ Fax:_______________

Email:___________________________________

How many copies do you need?____________ ($59.95 each, bulk discounts available)
Double Check it Lite is valid for one user on many computers, or one computer with many users, not both!
Where did you hear about Double Check It Lite?_________________________

Shipping Options (check only one):
___Email (free)
___US Postal Service Priority ($3)
___Airborne Express Overnight ($10-15, depending on location)
      Outside the U.S., additional charges may be necessary, confirmation of
___shipping charges will be gotten before we ship order.
$_______Total Order Amount: (NC residents add 6% tax)

Payment Options (choose either credit card or check/money order):

____ Credit Card-Visa/MC:

Name as it appears on the card:____________________

Number:___________________________ Exp:___/___

Billing Address:________________________________

City:________________________________________

State: ___________ Zip: _____ Country:____________

Signature:______________________Date:___/___/___

____Check/ Money Order:
Mail payment with this form.
Make checks payable to Datatrend Software.