REGISTRATION FORM
-----------------

Registration Fee

                             *Pounds Sterling*
Item                                Per       Qty       Total
----                                ---       ---       -----
Software, manual and
stand-alone PC registration
on 3 1/2" diskette ...............  15.00   ........  ........
                                 (or US$24.50)
Software, manual and
network PC registration
on 3 1/2" diskette ...............  25.00   ........  ........
                                 (or US$39.50)
Shipping & Handling:
Western Europe ...................   2.00             ........
OR                               (or US$3.25)

Elsewhere   ......................   4.00             ........
                                 (or US$6.50)


                                            Total =  _____.___


     Make CHEQUE/M.O./P.M.O payable to S SHARPE,
     fill in and return this form to:

     S Sharpe
     4 Drovers Way
     Peebles EH45 9BN
     Scotland


         Name: ..................................................

      Address: ..................................................

    City/Town: ..................................................

 State/County: ..................................................

Zip/Post code: ..................................................

      Country: ..................................................

    Product  ID:   Electronic Questionnaire  Manager,  Autumn  1994

Where did you get this program from:

      Company: ..................................................

Where did you hear about this program:

               ..................................................

     Comments or Suggestions:




Use extra sheet if needed for comments.
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Thank You for your time in Registering this Program .