Remit to: Howard L. McHenry Services
c/o Howard L. McHenry
RD#1 Box 520
Vandergrift, PA.
15690


Cardx version 8.2


____ Cardx Registration only ................... @ $ 20.00 ea $ ______

____ Pennsylvania Residents please add Sales Tax ....... @ 6% $ ______

Total (U.S.Funds) $ ______
drawn on U.S.Bank

Name: ____________________________________________________________

Address: ____________________________________________________________

: ____________________________________________________________

: ____________________________________________________________

Day Phone: _________________________ Eve: ___________________________

------------------------ User comments ------------------------------

I acquired Cardx v8.2 from:

[ ] - Friend [ ] - Software product
[ ] - Computer Club [ ] - Computer Store
[ ] - Data Base Service [ ] - Electronic BBS
Phone ____-____-_____
[ ] - Other - Please Specify ________________________________

I would also appreciate any input you would care to give concerning
Cardx. If you have any ideas or comments that would make Cardx a
better program, then please let me know.

I value your comments!

Comments and/or suggestions:
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