Category : Databases and related files
Archive   : MXI30A.ZIP
Filename : REGISTER.FRM

MANAGEX REGISTRATION FORM


TO: INTEGRA COMPUTING
Box 72063
Marietta, GA 30007-2063


Name __________________________________________________________
Address __________________________________________________________
City _________________ State ___ Zip _______ County ________
Firm Name __________________________________ Phone ________________
# Professionals _____ # Employees ____ Type of Practice ________________
Computer Type __________________________________________________________
I first heard of ManageX from _____________________________________________
If I'm already a registered ManageX user, here's my Serial Number _________

Please register me as a ManageX user and send

_____ copies of ManageX I ($40 ea), totaling $______
_____ copies of ManageX III ($125 ea)*, totaling $______
_____ copies of ManageX IV ($200 ea)*, totaling $______
30 min phone support per program ordered,
to be used within 90 days of order ($30/program) $______

Total Order $______
___% Sales Tax for _________ county, if I'm a GA resident $______

TOTAL ENCLOSED $______

I have read and agree to the terms of the License, Disclaimer, and Agreement
that are found at the beginning of the ManageX documentation. I understand
that, if I have ordered 30 minutes of phone support above, I may return Mana-
geX III or IV within 30 days of this order for a full refund of BOTH the sup-
port cost AND the program cost.


_______________________________________
SIGNATURE


* Registered users upgrading to ManageX III from ManageX I need pay only $100.
" " " " " I " " IV " " " $175.
My current ManageX version is: ________. My serial number is: _____________.

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