MERTECH CONSULTING ****SOFTWARE REGISTRATION AND ORDER FORM**** Quantity Program Price Each: Total: ________ _______ ___________ ______ ____ SPORTS CARD MANAGEMENT $29.95 $______ ____ COMIC BOOK MANAGEMENT $29.95 $______ ____ DOLL MANAGEMENT $29.95 $______ ____ COIN MANAGEMENT $29.95 $______ ____ STAMP MANAGEMENT $29.95 $______ ____ PLANT MANAGEMENT $29.95 $______ ____ TOY MANAGEMENT $29.95 $______ ____ GUN MANAGEMENT $29.95 $______ ____ BOOK/VIDEO/RECORD MANAGEMENT $29.95 $______ For Order Processor program integrated into any of the above programs add an additional 10 dollars to order. _____ ORDER PROCESSOR AND CUSTOMER FILER $10.00 $______ ____ 3-1/2" format disks (per program) $ n/c ____ 5-1/4" 1.2M format disks (by request only) $ n/c Shipping (U.S. and Canada) $ 3.00 $ n/c Shipping (everywhere else in the world) $ 5.00 $______ New York residents add appropriate tax $______ TOTAL ENCLOSED: $______ >> Payment must be made in U.S. Funds << Payment is by check[ ] or money order[ ] (Sorry - no COD or charges) NAME _______________________________________________________ COMPANY ____________________________________________________ ADDRESS ____________________________________________________ CITY _______________________________________________________ STATE___________________________ ZIP _______________________ ====================================================================== Send completed form and payment to: Order #________ Mertech Consulting 6 Bates Drive Port Jefferson Sta., NY 11776 ======================================================================