RegSoft.com FAX Registration
Please fill in the form below Completely, print it out, and FAX it to 770-497-9234
If you choose to fill it out by hand PLEASE PRINT LEGIBLY
10:25:28 8/10/99 - 24.200.83.213

Product ID 15058
Program Name Desks At Will
Registration $22.50
Quantity
Billing Information:
Email Address:
If this field is left blank
you order may not be processed
Name:
as it appears on credit card
Company Name:
(optional)
Address:
Exactly as it appears on your statement
(please include the COUNTRY)
Georgia Residents are required to add Sales Tax - Please select your County
Phone Number:
CC Type: Visa
MasterCard
American Express
Discover (Novus)
Credit Card Info : Exp Date