Voter++ v4.04
Copyright (c)96,1997 by Practical Computer Services
R E G I S T R A T I O N F O R M
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1. Name : [ ]
2. Address Line 1 : [ ]
3. Address Line 2 : [ ]
4. City : [ ] State : [ ] ZIP : [ ]
5. Home phone # [ ] Data # [ ]
6. BBS Name [ ] # of nodes [ ]
7. Requested Password on The TAO BBS: [ ]
8. Your Internet E-Mail Address: [ ]
Remember! Call (609)587-2672 to download your registered version.
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CHARGE IT!
Name (as it appears on card) ______________________________________
Expiration Date: ____/_____
Card Number: __________________________________
Signature: ____________________________________ Date: ____________
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Qty. Product & version # Price Each Total Price
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[ ] Voter++ v4.04 $20.00 $
[ ] Universal Key Registration $40.00 $
(Registers all Universal PPE's)
[ ] Voter++ Upgrade (Major Revisions) $ 8.00 $
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6% Sales Tax (NJ Residents only): $
Shipping & Handling (Disk orders): $ 2.50
Total Cost: $
Please make check/MO payable to: PRACTICAL COMPUTER SERVICES
Mail this form along with a check or money order to:
Practical Computer Services
483 Klockner Road
Hamilton, NJ 08619
VOICE: (609)584-7947 INTERNET: bob.watson@tao.com
SUPPORT BBS: The TAO BBS (609)587-2672 33,600 Baud USR v.everything
WEB SITE: http://www.nerc.com/~pcs/
