  Software registration form
  *=Optional

Company name      ________________________________________

Company Address   ________________________________________

City STATE ZIP    ___________________________ ______   _______

Phone             *________________________

E-Mail            *________________________

Store/user name   ________________________________________
See note below on store/user name
                  
Store Address     ________________________________________

City STATE ZIP    ___________________________ ______   _______

Phone             *___________________

Contact Person    *______________________________________

Contact Phone     *_______________________________


Mail to:         Tims Homegrown Software
				 308 Loomis
				 McPherson KS 67460
				 Home 316-241-7060
				 Work 316-241-0303
				 
				 
				 ___  Payroll        $60.00
				 
				 ___  Time Clock     $25.00
				 
	additional charge for diskette
				 
				 ___  Payroll Disk   $12.00
				 
				 ___  Time Clock     $ 7.00
				  
				 ___  Notes         $ 10.00
				   
				      Total         __________

			  	
Notes allows users to send messages to other users of Time Clock
  Or Payroll.
  				  	
Store/user name must match the store name used when you SETUP the application.
Your License will be good for that Location/Department only.
 