	    A P P T R A K   R E G I S T R A T I O N

Name: _______________________________________________________

Title: ______________________________________________________

Department: _________________________________________________

Comapny Name: _______________________________________________

Company Address: ____________________________________________

City:  ___________________________  State _____  Zip ________

Telephone: __________________________________________________

Type of business: ___________________________________________

Number of Employees: _____________

Method of Payment:   Check __________  Money Order __________


Comments:______________________________________________________________

	 ______________________________________________________________

	 ______________________________________________________________

	 ______________________________________________________________

	 ______________________________________________________________

*************************************************************************
  ________________________________________________________________
  |  Quantity	  |					| Amount
  +---------------+-------------------------------------+---------
  |		  |   x $ 75.00 			|
  +---------------+-------------------------------------+---------
		  |Ohio residents add 5.75 % sales tax	|
		  +-------------------------------------+---------
		  |Total				|
		  +-------------------------------------+---------
*************************************************************************

Send completed registration form and check or money order to:

	       Archer Software
	       1346 Mentor Drive
	       Westerville, Ohio 43081


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