The Bill Drawer - Registration Form - Version 2.10


   Name: ________________________________________________________

Company: ________________________________________________________

Address: ________________________________________________________

         ________________________________________________________

   City: ________________________  State:_____  Zip:_____________


Check One: Individual (  )  Company (  )  Other:_________________

Disk Size: 5 1/4 (  )   3 1/2 (  )

Source of Program: ______________________________________________
                         (Name of BBS, Catalog, etc)


Check Desired Registration Options:
(  ) Clear conscious option - $15.00 (US).
     Registers the current shareware version you are using.
     Includes user guide and notification of new releases.

(  ) Full Registration - $30.00 (US)
     Ships you the commercial version of The Bill Drawer, which
     includes the standard reports and Paradox format files.  In
     addition, you will receive the user guide and notification of
     new releases.


Total Amount Enclosed: _____________
(California residents, please add appropriate sales tax)


Remit To:  MelissaSoft Systems
           11676 Windcrest Lane
           San Diego, CA 92128

Orders Outside the US: Checks must be drawn on a US bank in US dollars.