FundRaiser Basic Registration Form  
(this can also be filled out and printed from within the program)

Yes, I'm ready to register.  Send me:
- the printed manual and the newest version of FundRaiser Basic.
- the booklet entitled "Tending Your Donor Garden" that is packed with 
  successful fundraising tips and techniques.
- priority technical support for 3 months
- discount certificates for FundRaiser Jr. and FundRaiser Professional.
- my registration number which will, when entered, make the registration
  notices go away.
- whatever other goodies you would like to include.
- and let me know about updates, addons, and other new developments.

==============================================================================

Register FundRaiser Basic to... ______________________________________________

My name is..................... ______________________________________________
My Organization Name is........ ______________________________________________
Address........................ ______________________________________________
                                ______________________________________________
                                ______________________________________________

My phone number is............. (_____) _____-__________ ( day / night / fax )
My preferred disk size is...... (_) 3.5"   (_) 5.25"
                                (_) hi density (normal)  (_) lo density (rare)

FundRaiser Basic................ $79.00
Addon Utilities................. ______  _____________________________________
Missouri Sales Tax of 6.225%.... ______  ($4.92 for Missouri residents)
Shipping and Handling........... ______  ($5.00 - US/Canada;  $8.00 elsewhere)
                                 ======
Total........................... $_____

Method of Payment:  (_) Check (make payable to Professional Support Software)
                    (_) VISA/MasterCard |_______|_______|_______|_______|
                             expires on |____/____|
                           name on card ______________________________________


Signature  _________________________________________________

Where did you find FundRaiser Basic? _________________________________________


mail to:   Professional Support Software        or call:  1-800-880-3454
           106 Garfield Ave                     or fax:   1-417-256-6370
           PO Box 901                           (credit card sales only)
           West Plains, MO  65775

Thank you for registering.  
Please take a few moments to tell us something about your organization.  
Also, let us know if you have an email address or fax.  
You may use the back of this page.  Thanks - Gene.