3P SOFTWARE REGISTRATION FORM Your Name: ___________________________ Computer: __________ Address : ___________________________ Mouse: _____________ ___________________________ Phone: _____________ Unit Amount Number Product Name Price Enclosed ========================================================== ______ ProMouse 5.0 (ProComm 2.4.2) $10.00 _________ MS ______ ProMouse 6.1/7.0 (ProComm+) $10.00 _________ MS ______ ProMouse 6.1/7.0 (ProComm+) $10.00 _________ LT ______ TurboMouse 8.0 (Turbo Pascal) $10.00 _________ MS ______ TurboMouse 8.0 (Turbo Pascal) $10.00 _________ LT ______ TCMouse 6.0 (Turbo C) $10.00 _________ MS ______ TCMouse 6.0 (Turbo C) $10.00 _________ LT ______ TDMouse 1.0 (Turbo Debugger) $10.00 _________ MS/LT ______ PCWMouse (PC-Write 2.71) $10.00 _________ MS/LT ______ MSMouse (MicroStar 4.0) $10.00 _________ MS/LT Total Charges __________ Penna. residents add 6% Sales Tax __________ Amount Enclosed __________ Make Checks or Money Orders Payable to: Pedro P. Polakoff III Where did you receive your copy of the software you are registering? _____________________________________________________________ *** PLEASE NOTE *** You may purchase the Logitech & Microsoft Versions for $8.00 each when purchased together. You may also purchase ANY THREE mouse products at $7.00 each or pay the full price of $10.00 and take PCWMOUSE.COM or MSMOUSE.COM at no charge. If you desire users manuals and/or phone support, please check the box below. I would like: |_| Manuals |_| Phone support Mail to: Pedro P. Polakoff III 3P Software 1827 Kendrick Street Philadelphia, PA 19152-1829