                        Registration Form - -Budget5
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        Name______________________________________________________

        Address___________________________________________________

        City____________________________State__________Zip________

        Disk Size.........3 1/2 ( )......5 1/4 ( )
        Hard Drive? Y( )  N( )
        Which version did you evaluate?   1(), 2(), 3(), 4(), 5()
        From where did you get it?________________________________

        (Optional)
        Computer__________________________________________________

        Printer___________________________________________________

        Monitor___________________________________________________

        Comment:__________________________________________________

        __________________________________________________________

        __________________________________________________________

        __________________________________________________________

        __________________________________________________________

        Send with $24 to:             Free Programs:
        Richard S. Haseltine               Values.Exe
        RR3 Box 830                        Shrtdebt.Exe
        Orrington, Maine, 04474            Updates for 1 year
        Tel:(1)-207-825-3246          Full support: See BUDGET.DOC

