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              Retirement QUICK-MONITOR Registration Payment Form
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            The Registration Fee for this software is $35.  Like all 
            good software, this program is improved and and upgraded 
            from time to time.  By registering, in addition to the 
            right to use RETIREMENT QUICK-MONITOR, you will receive a
            registered copy of the next version (5 1/4" disk) when 
            released, notices of updates, upgrades, enhancements and 
            other programs, plus technical support by mail from the 
            author for a period of one year.


         NAME __________________________________________ DATE _________

         COMPANY NAME __________________________________

         ADDRESS _______________________________________

         CITY,STATE,ZIP ________________________________

         TELEPHONE (w/Area Code) _______________________

         WHICH VERSION OF RETIREMENT QUICK-MONITOR ARE YOU 
           PRESENTLY USING?  Ver#___.__

         WHAT MAKE/MODEL COMPUTER DO YOU USE? __________________________

         HOW DID YOU OBTAIN THIS COPY OF THIS SHAREWARE? _______________

         _______________________________________________________________

         Please mail your check or money order for $35

                      TO:

                          Rod Hoisington
                          PO Box 839
                          Key Largo, FL 33037


             THANK YOU AND HAVE A COMFORTABLE RETIREMENT!
                                                                    111610











       This form can be printed with the command COPY REGISTER.TXT PRN