Product:  QuickPop 2.0
____________________________________________________________________

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

Email:   [6]

Comments:   [7]  

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

Price per copy..........:   $10.00
Number of copies........:   [12]
Quantity Discount.......:   [13]

Send Latest?............:   [14]
Sales Tax (CA Only).....:   [15]

Total Due...............:   [16]

[17]
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Email this registration form to:

John V. Holder                   Email addresses (AOL is preferred):
2862 Lowell Street               America Online:  JohnHolder
Eureka, CA  95501-4315           Internet......:  JohnHolder@aol.com
                                 CompuServe....:  75040,1126
FAX:  (707) 443-3813