
Fill out and mail the registration form along with your payment to:

	Joy Chu
	145 Brittany Place
	West Chester, PA 19380
	U.S.A.



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                EZ Unit Converter Wizard Registration Form
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 User Name:_______________________________________

 Company Name:____________________________________

 Street Address:__________________________________

 City:____________________________________________

 State:_____________________ Zip:_________________

 E-mail:__________________________________________

 Registration Fee: $20.00.

 Additional Copy: $10.00 X __________ Copies


 Please add $1.00 if without E-mail address or self-addressed, postage
 paid envelope.


 Total Payment: $___________.

 Names for Additional Copies:

  ______________________________________________________________________

  ______________________________________________________________________

  ______________________________________________________________________

  ______________________________________________________________________

  ______________________________________________________________________


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 To qualify $10 Discount for Registered Home User of EZ Loan Manager,
 please provide valid User Name and Serial Number.


	User Name:__________________________

	Serial No.:_________________________
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