Registration form for Trucklog for Windows 3.X

Please fill this out and send $59.95 (Certified Cheque or Money Order) to

Charles MacDonald
2847 More Crescent
Regina, Saskatchewan, Canada
S4V 0T4


Name           _______________________________________


Address        _______________________________________


City           _______________________________________


State/Province _______________________________________


Zip/Postal Code_______________________________________


Phone Number   _______________________________________


E-Mail         _______________________________________


(If applicable you need only send $5.00 for the upgrade registration)


Registered name for Trucklog V.1.X ___________________________________


Registration Code                  ___________________________________