Fund Manager 4.1 Registration Form

Name:     ______________________________________

Address:  ______________________________________

City:     ________________________    State:  __

Zip Code: __________     Country: ______________

E-mail address: ________________________________

How did you obtain Fund Manager?
________________________________________________

Any improvements that you would like to see?
________________________________________________
________________________________________________

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Registration Fee:                            ___
  New User:                         $39
  Upgrade:                          $10

Manual: (Optional)                         + ___
  3.5" diskette:    ($7 outside US) $ 5
  E-mail:                           $ 2
  Word 2.0, RTF, or ASCII?   __________

Total Payment Enclosed:                    = ___
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Please support the shareware concept by sending payment to:

Beiley Software Inc.
P.O. Box 51641
Phoenix, AZ 85076-1641

E-mail: registration@beiley.com
Phone:  (480) 705-0129 (10am - 9pm PST, 7 days a week)
FAX:    (480) 705-9219 (24 hours/day, 7 days a week)

If paying by credit card please fill in the following:

Card Number:________________________________________
Circle one: Visa  MasterCard  
Expiration Date (mm/yy):___/___
Cardholder's Signature:______________________________