PIRCH REGISTRTION

PIRCH is shareware and the cost of registration is only $10.
Please print this form and send along with your payment to:

	Northwest Computer Services
	309 North Labree Suite #9
	Thief River Falls, MN 56701
	ATTN: PIRCH


Name: ______________________________________________________

Address: ___________________________________________________

City: ______________________________________________________

State: _____ Country: ____  Zip/Postal Code: _______________

Email Address: _____________________________________________

Copies Registering: _____  X $10.00 = ______________________


When registration is received we will send you a registration 
number via email. Thank you for your support.