Software Registration Form
____________________________________________________________________

Name:
[1]
[2]
[3]
Phone/FAX:   [4]       [5]

Email:   [6]

Comments:   [7]  

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

Products Ordered:
([12]) ScrapIt Pro 5.41 ($20 each)........:   [13]
([14]) QuickScrap 1.1 ($15 each)..........:   [15]
([16]) ScrapIt Pro & QuickScrap ($30 each):   [17]
([18]) EZNote ($20 each)..................:   [19]
([20]) QuickPop ($10 each)................:   [21]
([22]) ViewFont ($5 each).................:   [23]
([24]) ColorFall ($10 each)...............:   [25]
([26]) Escape! ($10 each).................:   [27]
([28]) SideMinder ($10 each)..............:   [29]

Quantity Discount.......:   [30]
Send Latest?...(adds $5):   [31]
Disk Size (800k or HD)..:   [32]
Sales Tax (CA Only).....:   [33]
Note: Sales Tax is only
collected if you've requested
a disk and you live in
California

Total Due...............:   [34]

[35]
____________________________________________________________________
Email this registration form to:

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

FAX:  (707) 443-3813

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