Software Registration Form
____________________________________________________________________
Name:
[1]
[2]
[3]
Phone/FAX:   [4]       [5]

Email:   [6]

Comments:   [7]  

Payment Method:   [8][9][10][11]

Products Ordered:
([12]) EZNote 1.41 ($20 each)......................:   [13]
([14]) PopAddress 1.0 ($20 each).................:   [15]
([16]) ScrapIt Pro 5.44 ($20 each)..............:   [17]
([18]) QuickScrap 1.1 ($15 each).................:   [19]
([20]) ScrapIt Pro & QuickScrap ($30 each):   [21]
([22]) QuickPop ($10 each)...........................:   [23]
([24]) ViewFont ($5 each)..............................:   [25]
([26]) ColorFall ($10 each)...........................:   [27]
([28]) Escape! ($10 each)..............................:   [29]
([30]) SideMinder ($10 each)........................:   [31]

Quantity Discount...........:   [32]
Send Latest?...(adds $5):   [33]
Disk Size (800k or HD):   [34]
Sales Tax (CA Only).......:   [35]
Note: Sales Tax is only collected if you've requested a disk and you live in California

Total Due.........................:   [36]

[37]
____________________________________________________________________
Print this form and send your check, money order (made payable to “John V. Holder”) or cash to:

John V. Holder                                                           Email addresses (AOL is preferred):
1734 "S" Street                                                        America Online:  JohnHolder@aol.com
Eureka, CA  95501                                                   Internet...........:  jvholder@northcoast.com
USA

FAX:  (707) 443-3813

Home Page:   http://www.northcoast.com/~jvholder
(check for the latest new releases and updates!)