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Text File  |  1991-04-01  |  2KB  |  52 lines
  1.  
  2.         ------------------------------------------------------------------
  3.              C H E C K B O O K    R E G I S T R A T I O N    F O R M
  4.         ------------------------------------------------------------------
  5.  
  6.  
  7.                                                         Date _____________
  8.  
  9.         
  10.  
  11.         Please Remit To:         William Beshears
  12.                                  5710 Rita Street
  13.                                Southside, AL  35903
  14.  
  15.  
  16.         Please send me the latest version of CheckBook.   Enclosed is my
  17.         payment in the amount of $29.95 to cover the cost of the program
  18.         including shipping and handling charges.
  19.  
  20.  
  21.         ------------------ PLEASE COMPLETE THE FOLLOWING -----------------
  22.  
  23.         NAME:                    _________________________________________
  24.  
  25.         STREET ADDRESS:          _________________________________________
  26.  
  27.         CITY, STATE, ZIP CODE:   _________________________________________
  28.  
  29.         COMPUTER BRAND AND MODEL:_________________________________________
  30.  
  31.         DISKETTE SIZE (Check One)  3.5 inch [ ]     -or-     5.25 Inch [ ]
  32.  
  33.         Please Indicated the source of your copy of CheckBook disk:
  34.  
  35.         __________________________________________________________________
  36.  
  37.         COMMENTS/SUGGESTIONS:_____________________________________________
  38.  
  39.         __________________________________________________________________
  40.  
  41.         __________________________________________________________________
  42.  
  43.         __________________________________________________________________
  44.  
  45.         __________________________________________________________________
  46.  
  47.         __________________________________________________________________
  48.  
  49.         __________________________________________________________________
  50.  
  51.         __________________________________________________________________
  52.