Order form for FamilyData registration

Name  ________________________________________________________________

Address  _____________________________________________________________

______________________________________________________________________

City/town ____________________________________________________________

Province/state _______________________Post/zip code __________________

Country ______________________________________________________________

Daytime phone number _________________________________________________

FAX number ___________________________________________________________

E-mail address _______________________________________________________



I'd like to order/register the following shareware:

[ ] FamilyData - Registration Code: Product  #4587             $19.00


Mail this form to:

       NorthStar Solutions
       1228 Westloop Pl, PMB #204
       Manhattan, KS 66502  	