Name.....:

Company:

Address..:

City........: State: Zip/Post:

Country..:

Phone.....:

Fax.........:

E-Mail....:

URL.......:

Check off the items of interest.

Perfect for VARS (tm) DEALER KIT

Auto Perfect (tm)

Banquet & Catering Perfect (tm)

Bailbonds Perfect (tm)

Basket & Floral Perfect (tm)

Bookstore & Music Store Perfect (tm)

Cards Perfect (tm)

Car Rental & Sales Perfect (tm)

Catering Perfect (tm)

Clean & Perfect (tm)

Checkbook Perfect (tm)

Club Perfect (tm)

Comics Perfect (tm)

Commercial Rent Perfect (tm)

Co-Op Ed & Education Perfect (tm)

Command Perffect (tm)

Contact Perfect (tm)

Courier Perfect (tm)

Doctor Perfect, DDS (tm) / Dental

Discovery Perfect (tm)

Doctor Perfect, MD (tm)

Docket Perfect (tm)

Floral Perfect (tm)

Hardware Store Perfect (tm)

Herd Perfect (tm)

Hospital Perfect (tm)

Hotel Perfect (tm)

Insurance Perfect for Brokers (tm)

Insurance Perfect for Carriers (tm)

Jazz Perfect (tm)

Jewelry Perfect (tm)

Job Shop Perfect (tm)

Library Perfect (tm)

Limo & Taxi Perfect (tm)

Menu Perfefct (tm)

Moving Perfect (tm)

Multiplex Perfect (tm)

On-Line Perfect (tm)

Parcel Perfect (tm)

Pit Stop Perfect (tm)

Pizza Perfect (tm)

Plumbing Perfect (tm)

P.O.S. Perfect (tm)

Power Perfect (tm)

Public Relations Perfect (tm)

Recipe Perfect (tm)

Residential Rent Perfect (tm)

Restaurant Perfect (tm)

Salon Perfect (tm)

Service Perfect (tm)

Storage Perfect (tm)

Support Perfect (tm)

Tailor Perfect (tm)

Teacher Perfect (tm)

Timeclock Perfect (tm)

Video Perfect (tm)

Wine Perfect (tm)

What Computer do you have? PC/XT or 286 or 386 or 486 or Pentium/586

Do you have a CD-ROM drive? Yes No

Do you want hardware and add-on information? PC's

Cashdrawer Scanner Phone Integration

Printers Special Keyboards

Database Updates Support Contracts

Anything else?