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      Please Support Quality Software at Reasonable Prices. Register XFORM

      XFORM Single Unit Registration (Circle Choice)
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      5.25" check enclosed   $49.00       3.50" check enclosed   $54.00

      5.25" VISA/Mastercard  $54.00       3.50" VISA/Mastercard  $59.00

      Payment by:     Check enclosed  ( ) (U.S. bank or branch ONLY)
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      Shipping Address:

      Name     ___________________________________________________________

      Address  ___________________________________________________________

      ____________________________________________________________________

      ____________________________________________________________________


      For Credit Card Orders Only:

      Work Phone (____) _______________  Home Phone (____)  ______________

      Card #  _______________________________________  Expires ___________

      Cardholder Name ____________________________________________________

      Signature __________________________________________________________
																				    (Credit card orders Call: 205-823-5777)


      -------------- XFORM 2.0 Mailer and Registration Form --------------
      Fold at the page break below with the printing facing out. Fold form
      like a letter, leaving the mailing address on the outside, and your
      information on the inside. Staple check to the form, then tape or
      staple the sides and top.

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     _________________________________																							     Place

     _________________________________																							     Stamp

     _________________________________																							     Here





																																									     Information Resources, Inc.
																																									     Suite 117
																																									     210 Lorna Square
																																									     Birmingham, AL 35244

     Attn: XFORM VER2.0