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  1. TealPoint Software Registration Form
  2.  
  3.    
  4.    Please print this form, fill it out, and send it with check 
  5.    or money order to:
  6.    
  7.    
  8.       TealPoint Software                
  9.       454 Las Gallinas Ave, Suite #318  
  10.       San Rafael, CA  94903-3618
  11.    
  12.    
  13.       Name ________________________________
  14.  
  15.       Address _____________________________
  16.  
  17.       City ____________ State ___ Zip _____
  18.  
  19.       Ph # ___ - ___ - ____       (Optional)
  20.  
  21.       E-Mail _____________________(Required)
  22.  
  23.       HotSync UserID _____________(Required)
  24.    
  25.       (Your HotSync UserID is shown on the HotSync 
  26.        Application screen as 'Welcome _____' )
  27.  
  28.              product     qty    price
  29.  
  30.            TealMeal      [ ] x $13.95 = $_____
  31.            TealPaint     [ ] x $17.95 = $_____
  32.            TealMagnify!  [ ] x $11.95 = $_____
  33.            TealEcho      [ ] x $11.95 = $_____
  34.            TealGlance!   [ ] x $11.95 = $_____
  35.            Other _______ [ ] x $_____ = $_____
  36.            Other _______ [ ] x $_____ = $_____
  37.  
  38.                        Total Enclosed:  $_____ 
  39.  
  40.  
  41.     We appreciate your input:
  42.  
  43.       How did you hear about us? ___________________________________
  44.  
  45.       ______________________________________________________________
  46.  
  47.       ______________________________________________________________
  48.  
  49.       What products would you like to see? _________________________
  50.  
  51.       ______________________________________________________________
  52.  
  53.       ______________________________________________________________
  54.  
  55.       Additional comments: _________________________________________
  56.  
  57.       ______________________________________________________________
  58.  
  59.  
  60.    Thank you for your registration.  You will be sent e-mail containing a 
  61.    registration passkey for your HotSync UserID (if appropriate) and notified
  62.    of upcoming updates.  Please visit us at www.tealpoint.com, or
  63.    email us at contact@tealpoint.com.         
  64.                                                    
  65.    Thank you.                                       
  66.  
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