   BILLIT!      V3.1
   WESTCOAST SOFTWARE
   976 W Foothill  Ste 344
   Claremont, Ca 91711
   (909) 624-1936


   Gentlemen: Please send me a Registered Copy of:

   Check one:       (  ) BILLIT PROGRAM        $20.00
                    (  ) LABELS PLUS! PROGRAM  $20.00
                    (  ) COMBINATION BILLIT AND LABELS PLUS PROGRAMS $30.00

   Enclosed is a Check or Money Order in the amount of (        ).
   
   *Check or Money Order must be in U.S. funds drawn on a U.S. bank.
    Countries outside the U.S. add $5.00 for extra shipping/handling.
   
   Ship To:                                      Date:    /    /
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   Name                       : ________________________________________

   Company                    : ________________________________________

   Street                     : ________________________________________

   City/State/Zip             : ________________________________________
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   Telephone                  : 1 - (      ) -        -

   Circle Size Disks needed   : 5.25(360)   3.5(720)    5.25HD    3.5HD

   Make and Model of Computer : _________________________________________

   Make and Model of Printer  : _________________________________________

   I heard about BILLIT from  : _________________________________________










