Curve Fit Registration Form
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Your Name: _____________________________________________

Note:	Type/print your name and company below EXACTLY as it appears
	in the Registration dialog in the Help Menu of the Application.

Registration Dialog Name:

	_____________________________________________

Registration Dialog Company:

	__________________________________________

Please type or print clearly the following information:

Address: __________________________________________________________

City: _________________________________  State: _____  Zip: _______

E-Mail Address: _______________________________

Check the programs you wish to Register.

Curve Fit:				_____  $20.00
Find String:				_____  $15.00
HTML Merge:				_____  $20.00
Search/Replace String:			_____  $15.00
Set Text File Line Break:		_____  $10.00
Touch File Date/Time:			_____  $10.00
Both Search/Replace & Find String:	_____  $25.00
Both Search/Replace & HTML Merge:	_____  $30.00

I have enclosed a 
___ Check	___Money Order		(Check One)

Preferred Registration Code delivery:
___ Mail	___ E-mail	(Check One)

Please include a self addressed envelope for mail delivery to speed
up the response.
_____________________________________________________________________

Please make checks payable to Richard Floersch.
Mail this form and your check or money order to:

Richard Floersch
7307 W 89th Terr
Overland Park, Ks	66212
_____________________________________________________________________