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  3. [                                                                      ]
  4. [                         Registration Form                            ]
  5. [                                                                      ]
  6. [   Date: __________                    TO:  P & M Software Co.        ]
  7. [                                            9350 Country Creek #30    ]
  8. [                                            Houston, Tx  77036        ]
  9. [                                                                      ]
  10. [   FROM:     Name: ________________________________________           ]
  11. [                                                                      ]
  12. [          Address: ________________________________________           ]
  13. [                                                                      ]
  14. [                   ________________________________________           ]
  15. [                                                                      ]
  16. [                   ________________________________________           ]
  17. [                                                                      ]
  18. [           Phone # (_____)_______________________                     ]
  19. [                                                                      ]
  20. [                                                                      ]
  21. [   Check One:                                                         ]
  22. [                                                                      ]
  23. [   ____ Initial registration of "GT PowerComm" (suggest $50).         ]
  24. [        NOTE: initial registration includes an upgrade to current     ]
  25. [              version.                                                ]
  26. [   ____ Upgrade to current version of "GT PowerComm" (suggest $10).   ]
  27. [        If you are a registered user, you can use this option to      ]
  28. [        obtain an officially registered copy.                         ]
  29. [                                                                      ]
  30. [   PLEASE INDICATE SERIAL # AND VERSION OF PROGRAM YOU HAVE:          ]
  31. [                                                                      ]
  32. [             Serial # __________      Version #  12.21                ]
  33. [                                                                      ]
  34. [   PLEASE INDICATE AMOUNT ENCLOSED:                                   ]
  35. [             Contribution Amount ........... __________               ]
  36. [                                                                      ]
  37. [             TX residents add sales tax .... __________               ]
  38. [                                                                      ]
  39. [             Total Enclosed ................ __________               ]
  40. [                                                                      ]
  41. [   PLEASE INDICATE METHOD OF PAYMENT:                                 ]
  42. [       If using major bank card, please indicate your card no.,       ]
  43. [       expiration date and Interbank ID Number.                       ]
  44. [                                                                      ]
  45. [   ___ MasterCard (r)   Interbank ID #  ______________                ]
  46. [   ___ Visa                                                           ]
  47. [   ___ Check            Credit Card No. ___________________________   ]
  48. [   ___ Money Order                                                    ]
  49. [                        Expiration Date ______________                ]
  50. [   Sales Tax Note                                                     ]
  51. [   --------------                                                     ]
  52. [   To compute the proper sales tax you should include 5.25% for the   ]
  53. [   TX state tax, Houston residents should add 1% for the city sales   ]
  54. [   tax, and MTA residents should add an amount equal to their local   ]
  55. [   MTA rate.  In Houston and Dallas, the MTA rate is 1%.              ]
  56. [                                                                      ]
  57. [   Please DO NOT send cash.  Send check, money order, or credit card  ]
  58. [   information.  Your request will be filled promptly upon receipt.   ]
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