Registration Form 
 
 
Quantity ________  x $ 25.00    =           $  ________ 
 
Shipping (U.S. $4.00, Canada and  
  Mexico $6.00, foreign $8.00)              $  ________ 
 
Missouri Residents please add 6% sales tax  $  ________ 
 
Total                                       $  ________ 
 
Please include a Check or Money Order made payable to 
Kelly Schrock. 
 
 
 
          Diskette size: [  ] 3.5"   [  ] 5.25"  
 
 Name     _______________________________________________ 
 Company  _______________________________________________ 
 Address  _______________________________________________ 
          _______________________________________________ 
          _______________________________________________ 
 Phone    _______________________________________________ 
 
I have read and agree to abide by the license agreement: 
 
 Signature  _____________________________________________ 
 
 
Where did you get System Configuration Editor? 

 ___________________________
 
If you received System Configuration Editor from a BBS, what is 
its complete name and phone number?

___________________________________
_________________________________________________________ 
 
Please include any comments or suggestions on the lines 
which follow.  Use an additional page if necessary. 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
_________________________________________________________ 
 
For information about volume discounts, site  licenses, and 
technical questions please contact VacNat Software. 
 
Mail this form to:  VacNat Software 
                    1370 White Oak St. 
                    Harrisonville, MO 64701
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