1 COOK ORDER and REGISTRATION FORM Cost x Quantity = Total Registration w\ Disk and Printed Manual $19 x ______ = _______ Disk format 5.25 ___ 3.5 ___ (Check One) Sub-Total ______ _______ North Carolina Residents add 6% sales tax _______ Shipping & Handling: US & CANADA add $3 Outside of North America add $8 ____ ___ Total Enclosed _______ No COD orders excepted. Orders shipped via US Postal Service. Terms: Check or Money Order drawn on a U.S. bank in U.S. funds. Purchase orders (net 30) accepted for software from major US corporations. All licenses are prepaid only. Name: __________________________________ Date: ___ ______ Title: ________________________________________________________ Company: _______________________________ _______________________ Address: ________________________________________________________ City: __________________________ STATE: ____ ZIP: __ ______ Phone Number: _______ ___________________ ______ Make check out to: Richard Mansfield and mail to: MarilynSoft 2703 E. Bessemer Ave. Greensboro, NC 27405 Name: __________________________wr+nMie`\YWS}000u u PAu2.8P )+y{TVBDIKRKMWYRKMWY Tms RmnE. Bessemer Ave. Greensboro, NC 27405