Shareware Registration Form
		       ----------------------------

To obtain the latest registered version of Quick Checks and please fill
out the registration form and send it along with a check or money order
for $15 (US Funds) to:

John B Casey
91 Cabot Court
Hauppauge, NY 11788


Media Size              ( ) 3.5"        ( ) 5.25"

Name:                   ___________________________________________

Company Name:           ___________________________________________

Street Address:         ___________________________________________

			___________________________________________

City/State/Zip Code:    ___________________________________________

Telephone:              ___________________________________________

Compuserve ID:          ___________________________________________

Internet E-mail:        ___________________________________________                        



Please send any bug reports, suggestions, and enhancement requests to the
same address or to John B Casey Compuserve id 71612, 1173.
.