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Text File  |  1996-01-08  |  4.4 KB  |  58 lines
  1.   ________________________________________________________________________
  2.  |                                                                        |
  3.  |           FIXED ASSET PRO version 2.1   Registration Form              |
  4.  |                                                                        |
  5.  |________________________________________________________________________|
  6.  |                                                                        |
  7.  |                                                                        |
  8.  |    Company Name _____________________________________________________  |
  9.  |                                                                        |
  10.  |    Last Name ____________________ First Name ________________________  |
  11.  |                                                                        |
  12.  |    Address _________________________________________ P.O. Box _______  |
  13.  |                                                                        |
  14.  |    City _________________________ State _______ Zip _________________  |
  15.  |                                                                        |
  16.  |    Phone (______) ____________                                         |
  17.  |                                                                        |
  18.  |________________________________________________________________________|
  19.  |                                                                        |
  20.  |   QTY                                 UNIT PRICE         TOTAL         |
  21.  |                                                                        |
  22.  |  _____   Fixed Asset Pro               $79.95         ______________   |
  23.  |                                                                        |
  24.  |                                                                        |
  25.  |          Sales Tax  (Ohio Residents Only)  6%         ______________   |
  26.  |                                                                        |
  27.  |          Shipping                       $5.00         ______________   |
  28.  |                                                                        |
  29.  |          Grand Total                                  ______________   |
  30.  |                                                                        |
  31.  |   Disk Size: ___5 1/4"(1.2meg)  ___5 1/4"(360k)  ___3 1/2"(1.44meg)    |
  32.  |                  (check one)                                           |
  33.  |________________________________________________________________________|
  34.  |                              PAYMENT METHOD                            |
  35.  |                                                                        |
  36.  |  CHECK ENCLOSED   ________                                             |
  37.  |                                                                        |
  38.  |  VISA/MC Number: ________________________________ Expires: _________   |
  39.  |                                                                        |
  40.  |  Card Holder Name: ________________________________________________    |
  41.  |                                                                        |
  42.  |  Card Holder Signature: ___________________________________________    |
  43.  |                                                                        |
  44.  |    I understand that I will receive a new registered users' version    |
  45.  |    of FIXED ASSET PRO as stated in the documentation, along with a     |
  46.  |    printed manual, and free technical support.                         |
  47.  |                                                                        |
  48.  |________________________________________________________________________|
  49.  |                                                                        |
  50.  |    Send orders to: HammerSoft                                          |
  51.  |                    P.O. BOX 205                                        |
  52.  |                    Kansas, OH  44841-0205                              |
  53.  |                                                                        |
  54.  |   FOR FASTER SERVICE, USE VISA/MASTERCARD,  VOICE/FAX (419) 986-6007   |
  55.  |                                                                        |
  56.  |                                                                        |
  57.  |              Thank you for supporting ShareWare                        |
  58.  |________________________________________________________________________|