Fill in the form below Note: Even though the form below is a CGI-based "input form", there is no "action" associated with it. You are not submitting this information anywhere. It simply allows you to type in your information before printing. This reduces the chances for errors that can occur when trying to read hand-written information.
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Verify the information on the form is accurate and send the form, along with a check, money order, or cashiers check for $12. in USdollars, payable to Keith Parkansky, to:
Keith Parkansky
PO Box 1264
Milwaukee, WI 53201
Once your payment is processed you will be e-mailed the Deluxe script files. (Due to the speed of mail and bank processing, it could take 3 to 4 weeks to receive your script files when using a personal check.)
Please include your company, address, telephone, and fax information for my registration records and in case I have problems sending you an e-mail (it happens more often than you think). This information will NOT be sold or used for any other purpose and will be kept confidential.
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