Reminders 5.0 Purchase Form

Make cheque or money order payable to:

Ron Grau
622 N. James St.
Thunder Bay, Ontario, Canada
P7C 4T5

Cost per copy  (U.S. funds)
Purchase your registration code or optional disks

Reminders, $9.00 per program
(Canadian funds, Add $3.00 per program)
$_________
   
Add $3.00 per set of disks (optional) $_________
   
Total Payment $_________

Please allow 2-3 weeks for delivery of your disks. Registration codes are e-mailed immediately.

Name: _______________________________________

Address: _____________________________________

City: _________________________________________

State/Prov: ___________ Zip/Postal Code: __________

Country: ______________________________________

Day Phone: ____________________________________

E-Mail: _______________________________________

Where did you hear about Reminders?

Internet Site (which one?) ___________________________

Magazine (which one?) _____________________________

Shareware CD (which one?) _________________________

Other Shareware User

Comments/Suggestions: