REGISTRATION FORM IMPORT QUOTE (IQ) PROGRAM Remit to: Tony A. Carey The Carey Group 7721 Doe Lane Laverock, PA 19118 Name (Last, First): ________________________________________________ Company: ________________________________________________ Address: ________________________________________________ ________________________________________________ ________________________________________________ CompuServe Account Number (if applicable): ________________________ Version number of IQ (displayed in About): _________ Where did you obtain this version?: _______________________________ Quantity Product Unit Price Total _______ Single User registration $12 ______ _______ Upgrade to latest version $5 ______ (only if you paid the registration fee) Shipping and handling - U.S. & Canada $2 ______ (only when ordering an upgrade diskette) - International $3 ______ Total ______ ******************************************* Specify Disk: 5 1/4" [ ] -OR- 3 1/2" [ ] Make check payable to: Tony A. Carey ******************************************* Notes: All prices are in U.S. currency. Residents of countries outside the U.S.A. and Canada will need to remit extra money to cover postage cost. Comments about current release and suggestions for future releases: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________