DrTimeClock Registration Form
------------------------------------------------------------------------
------------------------------------------------------------------------

Name:__________________________________________________

Street:________________________________________________

City,State:____________________________________________

Zip:____________________________


Where did you get your copy of Dr TimeClock?

________________________________________________________

________________________________________________________


Version Number: ________________________________________

Complete the above information and send this form along with $29.95 to:

Bradford Moss,MD
1495-B Forest Hill Blvd.
W.Palm Beach,FL  33406

Please allow 2-3 weeks for processing. Order inquiries should be sent to the above
address or call (407) 433-8744  9:00 am - 4:30 pm Monday - Friday.
No phone orders accepted at this time.

We are constantly striving to upgrade and improve this product. 
Your comments are important to us and will help to better 
future editions. Please feel free to contact us if you have 
identified a bug or problem with the program. Remember to 
describe your computer system and the circumstances regarding 
the problem.  Technical support is available by mail at the 
address above or by FAX at (407) 969 3757. In your fax please 
leave a voice phone number where you can be reached during 
business hours or a fax number where an answer to your question 
can be transmitted. Technical support is available to 
registered users. If you are not a registered user and have 
found a "bug" in the program, you may notify us via fax however 
a voice call back can not be assured.

Comments and Suggestions

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________