SOMEPLACE (WINDOWS 95) REGISTRATION FORM NAME: ______________________________________________________ COMPANY: ______________________________________________________ ADDRESS: ______________________________________________________ ______________________________________________________ CITY: ______________________________________________________ STATE: ________________________ ZIP CODE: _________________ PHONE: ______________________________________________________ E-MAIL ADDRESS: _______________________________________________ WHERE DID YOU RECEIVE SOMEPLACE? _______________________________ ________________________________________________________________ COMMENTS: _____________________________________________________ ________________________________________________________________ Registration @ $15.00 (includes domestic shipping) $__________ Package on disk (unnecessary if you can obtain from web page http://www.cs.appstate.edu/u/cs/mh/granny) @ $3.00 __________ Shipping (only if disk is ordered) outside U.S./Canada/Mexico @ $1.00 __________ (Payments MUST be in U.S. Dollars/U.S. Bank, VISA/MC, check only for orders under $15.) TOTAL: $__________ Payment by ____check ____VISA ____MC #________________________________Exp_________ Signature____________________________________________________ Mail to: Granny's Old-Fashioned Software 297 Camp Rock Road Boone, NC 28607 or fax to: (704) 264-4634 or phone information to (704) 264-6906