________________________________________________________________________ | | | FIXED ASSET PRO version 2.6 Registration Form | | | |________________________________________________________________________| | | | | | Company Name _____________________________________________________ | | | | Last Name ____________________ First Name ________________________ | | | | Address _________________________________________ P.O. Box _______ | | | | City _________________________ State _______ Zip _________________ | | | | Phone (______) ____________ | | | |________________________________________________________________________| | | | QTY UNIT PRICE TOTAL | | | | _____ Fixed Asset Pro $79.95 ______________ | | | | | | Sales Tax (Ohio Residents Only) 6% ______________ | | | | Shipping $5.00 ______________ | | | | Grand Total ______________ | | | | Disk Size: ___5 1/4"(1.2meg) ___5 1/4"(360k) ___3 1/2"(1.44meg) | | (check one) | |________________________________________________________________________| | PAYMENT METHOD | | | | CHECK ENCLOSED ________ | | | | VISA/MC Number: ________________________________ Expires: _________ | | | | Card Holder Name: ________________________________________________ | | | | Card Holder Signature: ___________________________________________ | | | | I understand that I will receive a new registered users' version | | of FIXED ASSET PRO as stated in the documentation, along with a | | printed manual, and free technical support. | | | |________________________________________________________________________| | | | Send orders to: HammerSoft | | P.O. BOX 205 | | Kansas, OH 44841-0205 | | | | FOR FASTER SERVICE, USE VISA/MASTERCARD, VOICE/FAX (419) 986-6007 | | | | | | Thank you for supporting ShareWare | |________________________________________________________________________|