PC-TAX84 ORDER FORM/QUESTIONAIRE Name ______________________________________Phone ____-____-______ Address______________________________________ City ________________________________State________ZIP____________ Ran PC-TAX84 on an IBM (circle) PC PC-Jr PC-XT PC-AT Portable or ran PC-TAX84 on a _________________________(model)____________ Ran program with files on (circle) diskette RAM disk fixed disk Comments, problems, errors, bugs___________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Circle forms/schedules you used 1040 2441 4562 A B C D E F G SE W Forms/schedules you used that are not in PC-TAX84 _________________ Where/how did you get your copy of PC-TAX84 _______________________ If you got a copy from a Bulletin Board System or PC User's Group, please give me name, address and phone number (if available) ___________________________________________________________________ [ ] Enclosed is a check for $5.00. Please mail a copy of PC-TAX84.[ ] Check box if you have single side drives [ ] Please copy PC-TAX84 to the enclosed diskette and return it in the enclosed pastage paid self-adressed mailer. Enclose two diskettes if you have single side drives. [ ] Contribution of $_____.00 for PC-TAX84 is enclosed. If you made a contribution of $25.00 or more, do you want 60 sheets of color-barred paper? YES NO Please return questionaire (whether you contribute or not) to Jim Demberger 7280 60th Ave North St Petersburg, FL 33709 PC-TAX84.8 12/15/84 END