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 #   Smart -N- Easy tm  BABY PLANNER 1.1              Registration Form   #
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 #    REFERENCE NUMBER: 46254-TS                                          #
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 #    First Name ____________________ Last Name ________________________  #
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 #    Address __________________________________________________________  #
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 #    City _________________________ State _______ Zip _________________  #
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 #    Day Phone (______) ____________  Night Phone (______) ____________  #
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 #    Disk Size  _____ 5.25"   _____ 3.5"                                 #
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 #    How did you first learn of this product?                            #
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 #    _____ Magazine   _____ Newspaper   _____ Exhibition  _____ Review   #
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 #    Received this disk from:_________________________________________   #
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 #    What did you like about Smart -N- Easy?  (check all that apply)     #
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 #    _____ Performance  _____ Price  _____ Quality  _____ Reliability    #
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 #    _____ Recommendation   (other)____________________________________  #
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 #    Primary usage in:  _____ Home     _____ Event Planning Business     #
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 #    Circle any Free sample disks you would like to receive with order:  #
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 #    Smart -N- Easy       Smart -N- Easy            Smart -N- Easy       #
 #    Wedding Planner      Party Planner               Order Pro          #
 #                                                  (order-entry for a    #
 #    Smart -N- Easy       Smart -N- Easy           small/med business)   #
 #    Home Inventory       Bar Mitzvah Planner                            #
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 #    _____ Enclosed is payment in check or money order for $29.95        #
 #          Please ship my registered version promptly.                   #
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 #    _____ Please promptly ship my registered version C.O.D. at          #
 #          $29.95 plus tax and $4.00 C.O.D. charges.                     #
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 #    NJ residents please add 6% sales tax.                               #
 #    If ordering by check outside of The U.S., please add $10.00         #
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 #    Credit Card Orders:                                                 #
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 #                         We accept VISA & MasterCard.                   #
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 #    ____ VISA  ____MasterCard   Card # ______ ______ ______ ______      #
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 #                                Expiration Date _____/_____             #
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 #    FOR FASTER SERVICE, YOU MAY PHONE-IN ORDERS: 1-800-LUV-MY-PC voice  #
 #                                                  (201) 812-1169 FAX    #
 #  PLEASE SUBMIT REFERENCE NUMBER ABOVE WHEN ORDERING BY PHONE.          #
 #  Mail orders to: Automated Systems, PO Box 503, West Paterson NJ 07424 #
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