
                          Keep It Simple Software, Inc. (KISS)
                                   26 Finchwood Drive
                                   Trumbull, CT 06611
                                     203-375-0914

            
                                  3-WISHES REGISTRATION
            
            
            Name____________________________________________________
            		

            Company_________________________________________________
            
            
            Address_________________________________________________
            
            
            Address_________________________________________________
            
            
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            Phone___________________________________________________
            
            
                                               Price   Quantity  Total   
              Ŀ
                                                                    
               3-Wishes for Lotus 1-2-3      $39.95                 
                                                                    
              Ĵ 
                                                                     
               3-Wishes for WordPerfect      $39.95                  
                                                                     
              Ĵ 
                                                                    
               3-Wishes for dBASE III PLUS   $39.95                 
                                                                    
              Ĵ
                                                                    
               3-Wishes+                     $69.95                 
                                                                    
              Ĵ
                                                                       
                                                    Sub Total          
                                                          
                          Ĵ
                                                                       
              Expiration                      S/H          5.00  
              Date                                       
                                                               Ĵ
                                                                        
              Visa   Master Card   Amex             Total               
                                                                        
                                                               
                                                            