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Text File  |  1996-03-01  |  1.9 KB  |  52 lines
  1.  
  2.  
  3.  
  4.                R E G I S T R A T I O N    F O R M
  5.  
  6.  
  7.  
  8. DATE:                    _________________________________________
  9.  
  10. YOUR NAME:               _________________________________________
  11.  
  12. COMPANY NAME:            _________________________________________
  13.  
  14. STREET ADDRESS:          _________________________________________
  15.  
  16. CITY, STATE, ZIP CODE:   _________________________________________
  17.  
  18. COUNTRY (IF NOT USA)     _________________________________________
  19.  
  20. PHONE NUMBER:            _________________________________________
  21.  
  22. DISKETTE SIZE (Check One)  3.5 inch [ ]     -or-    5.25 Inch [ ]
  23.  
  24. Please Indicate the source of your shareware disk: ______________
  25.  
  26. _________________________________________________________________
  27.                                                             U.S.
  28.                     DESCRIPTION                           DOLLARS
  29. --------------------------------------------------        -------
  30. Latest Version of CheckBook Plus                           $24.95
  31. Printed User's Guide and Reference Manual                    0.00
  32. Software Updates For One Year                                0.00
  33. Letter or Phone Support                                      0.00 
  34. Database File Compression Utility (ISAMPACK.EXE)             0.00
  35. Shipping & Handling Charge                                   5.00
  36.                                                           -------
  37.     Total                                                  $29.95
  38.                                                           =======
  39.  
  40. Make check payable to: Beshears Software Associates
  41.  
  42. Mail Registration Form and Payment to:
  43.  
  44.                   Beshears Software Associates
  45.                         5710 Rita Street
  46.                       Southside, AL  35907
  47.                       
  48. Your comments and suggestions are important to us.  Please use
  49. the reverse side of this form.
  50.  
  51. Form 5119602
  52.