A P P T R A K R E G I S T R A T I O N Name: _______________________________________________________ Title: ______________________________________________________ Department: _________________________________________________ Comapny Name: _______________________________________________ Company Address: ____________________________________________ City: ___________________________ State _____ Zip ________ Telephone: __________________________________________________ Type of business: ___________________________________________ Number of Employees: _____________ Method of Payment: Check __________ Money Order __________ Comments:______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ************************************************************************* ________________________________________________________________ | Quantity | | Amount +---------------+-------------------------------------+--------- | | x $ 75.00 | +---------------+-------------------------------------+--------- |Ohio residents add 5.75 % sales tax | +-------------------------------------+--------- |Total | +-------------------------------------+--------- ************************************************************************* Send completed registration form and check or money order to: Archer Software 1346 Mentor Drive Westerville, Ohio 43081 csxx30