Quick Notes 2.0a Registration Form

If you cannot print this form, write a note with the same information on it
as is on this form.

If you have CompuServe, you can register online.
GO SWREG.  


Name       _________________________________________

Company    _________________________________________

Address    _________________________________________

City/State/Zip _____________________________________

Country     ________________________________________

Telephone Number   _________________________________


Quantity _____ * each license $34.95     ___________

Washington residents, add sales tax      ___________

Shipping and handling 
(see rates below)                        ___________
				
                           Total         ___________


Shipping and handling rates:

Country         Amount

United States	$2.05
Other Countries	$3.05


Disk media, check one:  [ ] 5.25"  [ ] 3.5"


Volume discounts and site licenses can be obtained by contacting 
Brandon Fridley. 


Make checks or money orders (U.S.) payable to: Brandon Fridley

Mail to:

    Brandon Fridley
    P.O. Box 6174
    Vancouver, WA 98668
    U.S.A.    

    Phone  (800)397-0289

Thank you for your support.

Questionnaire:

How did you hear of Quick Notes (store, BBS, friend, magizine, etc.)? 


Comments:
