LANKFORD MODULE MANAGER REGISTRATION FORM If you want to use the Lankford Module Manager program beyond thirty (30) days, you must register your copy. Otherwise, you must remove the program and all associated files from your computer. Registration is relatively simple. Simply send this completed form and $10 U.S. (ten U.S. dollars) (personal checks or money orders only, please) payable to: C. L. LANKFORD and mailed to the following address: C. L. LANKFORD LMODLMGR 108 MARSHALL ST. SW HARTSELLE, AL 35640-4106 All information that you provide will be held in the strictest confidence, and will only be used to identify your registration and for us to contact you, if needed. This info will never be divulged to any other parties for any reasons whatsoever. Date: ________________ Name: ____________________________________________ Address: ____________________________________________ Address: ____________________________________________ City, State, Zip: ____________________________________________ E-mail address: ____________________________________________ Comments: