Raxco Software, Inc. Product Registration Form
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What will registering get you? By registering your 
Raxco Software products, you get:

-  90 days of FREE product support
-  notification of new product upgrades
-  the latest product news

To register your Raxco Software products, just fill out
the following information and return to Raxco Software via:

Fax:	(301) 519-7899
email:	ntregister@raxco.com


Contact Information:
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Your Name:	_______________________________________

Title:		_______________________________________

Company Name:	_______________________________________

Product Use
(Select one):	Commercial: ________
                Government: ________
                Personal:   ________

Street Address:	_______________________________________

		_______________________________________

City:		_______________________________________

State:		_____________   Zip Code:______________

Country
(If not US):	_______________________________________

Phone:		_______________Fax:____________________

Email Address:	_______________________________________


Product Information:
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Product:	PerfectDisk for Windows

Version:	6.0


Purchase Information:
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Where did you purchase your PerfectDisk:
(Please select one from the list below)

____ I purchased this product directly from Raxco Software, Inc.

____ I purchased this product from _____________________________



Thank you for taking the time to fill out and return this 
registration form.

For support for Raxco Software's products, please visit our 
support site at http://www.raxco.com/support

To purchase additional copies of Raxco Software's Windows products, 
please visit the Raxco Software website at http://www.raxco.com 
to find a reseller near you, or you may call Raxco Software 
directly at (800) 546-9782.