home *** CD-ROM | disk | FTP | other *** search
-
-
-
- APPENDIX F Registration Form. Send completed form To:
-
- SimpleWare / P.O. Box 877 / Windsor, NF / Canada A0H 2H0
-
-
- Qty. Description Amount
-
- ____ Single user Registration (Ver III) $25.00 ____________
-
- Foreign Orders Add $5.00 ____________
- (See below)
- Total: ____________
-
-
- Payment: [ ] Check [ ] Visa
-
- Orders outside Canada and the USA Please Add $5.00
-
- ----------------------------------------------------------------
- Text to place in Registered Program (Maximum 30 Chars/line)
-
- Line#1: [_________________________________] Please
- Print
- Line#2: [_________________________________]
-
-
-
- Name: __________________________________________________
-
- Address: __________________________________________________
-
- City: ______________________ State:____ Zip:__________
-
- Phone: (____) ____________
-
- Visa #: ___________________________ Expiry Date:_________
-
- Signature of Cardholder:___________________________________
-
-
- Type of Computer: ________________________________________
-
- Type of Printer: ________________________________________
-
- Where did you
- Obtain your Copy: ________________________________________
-
- Comments: ________________________________________________
-
-
-
-