ABSENCE TRAKKER(tm) REGISTRATION FORM

Please send this completed form and your $19.00 (US) registration fee to:

DataGuard, Inc.
3506 Hwy. 6 South, Suite 210
Sugar Land, TX 77478

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Date: ___________________

Name: ________________________________________________________

Company: _____________________________________________________

Address: _____________________________________________________

City: _________________________ State: ____ Zip: _____________

Phone: ________________________ Fax: _________________________

EMAIL Address: _______________________________________________
			(Important for file updates!)

Type of Business: ____________________________________________

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Number of Licenses: ___________

Cost per License:  $      19.00
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Subtotal           $___________

+ Shipping *       $___________

+ Tax (if Texas)   $___________
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TOTAL FEE          $___________


* Shipping $3.00 if you desire a 3.5" diskette to be mailed, otherwise $0

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Updated files will be sent to you via EMail or diskette upon registration.
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Thank you,
Bryan