Mom for Windows v2.0 Order/Registration Form Date: _____________________ Name: __________________________________________ Company Name: __________________________________________ Shipping Address: __________________________________________ __________________________________________ __________________________________________ City: ____________________ State: ______ Zip: ____________ Phone Numbers: ____________________________________________ E-Mail: ____________________________________________________ Floppy Diskette Size: 3.5 inches 5.25 inches Where did you find this program? _______________________________________ Suggestions and Comments: ______________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please print this form and send it along with $15 (US) to: Kyle Lutes Computing P.O.Box 267 Bremen, IN 46506-0267