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Text File  |  1990-01-25  |  1.6 KB  |  55 lines
  1.                           Checkbook Management Program
  2.  
  3. Registration Form
  4.  
  5. Name:   __________________________________________
  6.  
  7. Company:__________________________________________
  8.  
  9. Address:__________________________________________
  10.  
  11.         __________________________________________
  12.  
  13. City:   __________________________________________
  14.  
  15. State:  ______      Zip code: _______________
  16.   or
  17. Country:___________________________________________
  18.  
  19. Phone:  (_____)______________     Business phone:  (_____)______________
  20.  
  21.  
  22. Purchased from:____________________________________
  23.  
  24.                ____________________________________
  25.  
  26.                ____________________________________
  27.  
  28. Version: _______    Date: _________________
  29.  
  30. Preferred diskette size:  ___ 5.25"       ___ 3.5"
  31.  
  32. Comments:____________________________________________________________________
  33.  
  34. _____________________________________________________________________________
  35.  
  36. _____________________________________________________________________________
  37.  
  38. _____________________________________________________________________________
  39.  
  40.  
  41.                    Registration Fee........................$35.00
  42.  
  43.                    Sales Tax (7.75% - TN residents only).... 2.71
  44.  
  45.                    Overseas shipping........................10.00
  46.  
  47.                    Total enclosed......................__________
  48.  
  49.  
  50. Please mail a copy of this information with your registration fee to:
  51.  
  52.                                    M. P. Data
  53.                                 113 Foxport Dr.
  54.                               Kingsport, TN 37664
  55.