******************************************** R E G I S T R A T I O N - O R D E R F O R M ******************************************** David Crenshaw, dba Numismatic Software Company 4744 Bayfield Drive North Charleston, SC 29418 ============================================================================== QKVALU PLUS 5.25" registered diskette w/manual on disk $19.95 ea. = $_______ QKVALU PLUS 5.25" distribution diskette................$ 9.95 ea. = $_______ For 3.5" diskette, add $1.00 per diskette.......................... $_______ FREE shipping and handling......................................... $ 0.00 "THANK YOU FOR YOUR ORDER" TOTAL $_______ ============================================================================== * PAYMENT METHOD * Make CHECK or MONEY ORDER payable to DAVID CRENSHAW (Please, no Currency). =====> SHIP TO <===== Name:_____________________________________________________________________ Street:___________________________________________________________________ City:__________________________________ State:______________ Zip:_________ =============================================================================== Tell us about yourself and your computer system. This information will help us make improvements and add features to this program. Please help us by com- pleting the questions below: (1) Where did you hear about QKVALU PLUS? (2) What do you like best about this program? (3) What do you like least about this program? (4) In what type of applications do you use QKVALU PLUS? (5) What computer brand and model do you use? (6) Do you use a monochrome or color monitor? (7) Is your monitor's display 40 or 80 columns? (8) What printer brand and model do you use? (9) General comments (suggestions for enhancements; report any bugs in QKVALU PLUS, error(s) in documentation). THANK YOU FOR TAKING THE TIME TO COMPLETE THIS USER PROFILE! QW1.00N@8PRN2TXT_ p