PayWindow Order Form



          Registration fee: $69.95 plus $5.00 shipping and handling.

	  Florida residents add state sales tax on the $69.95.



	  Upon registration you will receive a registered copy of PayWindow

          along with a printed illustrated manual.  You will also become 

	  eligible for the PayWindow upgrade program.



          Fill out this form and return it along with your check payable to

          ZPAY Payroll Systems in US currency to:



                                ZPAY Payroll Systems

                               2526 69th Avenue South

                              St. Petersburg, FL 33712-5631



	  Media desired  ____ 5.25  or ____ 3.5 size

			      

          Check enclosed ____  or charge my Visa ____ or Master Card ____



          Card number:____________________________ Expires:______________



          Signature:_____________________________________________________



          Name:________________________________________



          Company:_____________________________________



          Street Address:______________________________



          City:________________________________________



          State:_____________ Zip Code:________________



          Telephone number:____________________________



          Where did you receive your copy of PayWindow:____________________



          _________________________________________________________________



          Version number:__________________________________________________



          Comments:________________________________________________________



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