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  1.  
  2.                              3P SOFTWARE REGISTRATION FORM
  3.  
  4.             Your Name: ___________________________  Computer: __________
  5.  
  6.             Address  : ___________________________  Mouse: _____________
  7.  
  8.                        ___________________________  Phone: _____________
  9.  
  10.                                                     Unit   Amount
  11.             Number    Product Name                  Price  Enclosed
  12.             ==========================================================
  13.  
  14.             ______    ProMouse 5.0 (ProComm 2.4.2)  $10.00 _________ MS
  15.  
  16.             ______    ProMouse 6.1/7.0 (ProComm+)   $10.00 _________ MS
  17.  
  18.             ______    ProMouse 6.1/7.0 (ProComm+)   $10.00 _________ LT
  19.  
  20.             ______    TurboMouse 8.0 (Turbo Pascal) $10.00 _________ MS
  21.  
  22.             ______    TurboMouse 8.0 (Turbo Pascal) $10.00 _________ LT
  23.  
  24.             ______    TCMouse 6.0  (Turbo C)        $10.00 _________ MS
  25.  
  26.             ______    TCMouse 6.0  (Turbo C)        $10.00 _________ LT
  27.  
  28.             ______    TDMouse 1.0  (Turbo Debugger) $10.00 _________ MS/LT
  29.  
  30.             ______    PCWMouse (PC-Write 2.71)      $10.00 _________ MS/LT
  31.  
  32.             ______    MSMouse (MicroStar 4.0)       $10.00 _________ MS/LT
  33.  
  34.  
  35.                                             Total Charges  __________
  36.  
  37.                          Penna. residents add 6% Sales Tax __________
  38.  
  39.                                           Amount Enclosed  __________
  40.  
  41.             Make Checks or Money Orders Payable to: Pedro P. Polakoff III
  42.  
  43.             Where did you receive your copy of the software you are
  44.             registering?
  45.             _____________________________________________________________
  46.  
  47.             *** PLEASE NOTE ***
  48.             You may purchase the Logitech & Microsoft Versions for $8.00
  49.             each when purchased together. You may also purchase ANY THREE
  50.             mouse products at $7.00 each or pay the full price of $10.00
  51.             and take PCWMOUSE.COM or MSMOUSE.COM at no charge. If you
  52.             desire users manuals and/or phone support, please check the box
  53.             below.
  54.  
  55.             I would like:     |_| Manuals       |_| Phone support
  56.  
  57.                                        Mail to:
  58.                                  Pedro P. Polakoff III
  59.                                       3P Software
  60.                                  1827 Kendrick Street
  61.                               Philadelphia, PA 19152-1829
  62.