                            REGISTRATION FORM
                         IMPORT QUOTE (IQ) PROGRAM

Remit to:           Tony A. Carey
                    The Carey Group
                    7721 Doe Lane
                    Laverock, PA 19038


Name (First, Last): ________________________________________________

Company:            ________________________________________________

Address:            ________________________________________________

                    ________________________________________________

                    ________________________________________________

CompuServe Account# or AOL User Name:  _____________________________

Version number of IQ (displayed in About): ___________

Where did you obtain this version?:  _______________________________

What service(s) do you use to obtain quotes?: ______________________

Quantity  Product                                Unit Price    Total

_______   Single User registration                  $12       ______


_______   Upgrade to Version 2.x                    $5        ______            
          (only if you're already a registered 1.x user)
       

                                                    Total     ______

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          Make check payable to: Tony A. Carey

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Notes:    All prices are in U.S. currency.

Comments about current release and suggestions for future releases:

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