Software Registration Form                                 Invoice
____________________________________________________________________
To:  Accounts Payable

Please pay the following invoice.  Make the check payable to “John V. Holder” and send to the address listed below.

You must include a copy of this invoice with your payment.


Invoice Approved: ________________________________

Name:
[1]
[2]
[3]
Phone/FAX:   [4]       [5]

Email:   [6]

Comments:   [7]  

Payment Method:   [8][9][10][11]

Products Ordered:
([12]) ScrapIt Pro 5.43 ($20 each)..............:   [13]
([14]) QuickScrap 1.1 ($15 each).................:   [15]
([16]) ScrapIt Pro & QuickScrap ($30 each):   [17]
([18]) EZNote ($20 each)...............................:   [19]
([20]) QuickPop ($10 each)...........................:   [21]
([22]) ViewFont ($5 each)..............................:   [23]
([24]) ColorFall ($10 each)...........................:   [25]
([26]) Escape! ($10 each)..............................:   [27]
([28]) SideMinder ($10 each)........................:   [29]

Quantity Discount...........:   [30]
Send Latest?...(adds $5):   [31]
Disk Size (800k or HD):   [32]
Sales Tax (CA Only).......:   [33]
Note: Sales Tax is only
collected if you've requested
a disk and you live in
California

Total Due.........................:   [34]

[35]
____________________________________________________________________
Print this form and send your check (made payable to “John V. Holder”) to:

John V. Holder                                                           Email addresses (AOL is preferred):
1734 "S" Street                                                        America Online:  JohnHolder@aol.com
Eureka, CA  95501                                                   Internet...........:  jvholder@northcoast.com
USA

FAX:  (707) 443-3813

Home Page:   http://www.northcoast.com/~jvholder
(check for the latest new releases and updates!)