INSIDE TRAKER Registration Form

Mail to:
   Tom Mickow
   6612 Concord Circle
   Crystal Lake, IL.  60012

From:
   Name       : _______________________________

   Address    : _______________________________

   City, State: _______________________________   Zip Code: __________


Additional Information:

   Computer: ____________________________

   Display : ____________________________

   Memory  : ____________________________

   Mouse:  Y  N

   Present Version #: ___________________

   Disk Size:     3.5DD     3.5HD     5.25DD     5.25HD

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The following information and rates are subject to change without notice.

I am asking the following rates for registration:

     $5  - This will register your copy of INSIDE TRAKER.  This fee
           will entitle you to use the program as much as you like.  It
           will also allow me to inform you of any updates to the program.

     $10 - This amount entitles you to same as the $5 fee.  In addition,
           you will receive the latest version of INSIDE TRAKER (if the
           one you have is not the most current) plus all the MOD files I
           can squeeze onto the extra space on the disk.

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Quantity   x   Registration Rate   +   Postage & Handling   =   Total
=====================================================================

________   x         $5            +           $0           =   _____


________   x         $10           +           $2           =   _____


                                  Total Registration fees   =   _____


Please send check or money order - No cash please.



           INSIDE TRAKER - (c) Copyright 1991  Tom Mickow
                         All Rights Reserved.