Registration form Screen Saver Activate 1.2.9 for Windows NT
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NOTE: Screen Saver Activate 1.2.9 is freeware, and there is 
currently no charge for its useage. This file is provided only 
as a legacy file for compatibility with the installation process.
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Name:	___________________________________________
Organization:__________________________________________
Address:	___________________________________________
		___________________________________________
City:		___________________________________________
State or Province:______________________________________
Postal code:__________________________________________
Country:	___________________________________________
Phone:	___________________Fax:_____________________
Email:	___________________________________________

Number of copies of SSACTIVATE to register ($10.00 each):________

____Check here if you wish to receive a copy of SSACTIVATE on floppy disk.
	The price per copy will be increased to $15.00 to cover media and shipping.
	Select desired disk format....   3.5"____ or  5.25"____

Call for site / organization license info if registering 10 or more copies.

Payment methods

___ Check here if paying by check or money order.
Payment should be in US funds for $10.00 for each copy of SSACTIVATE which you wish 
to register. ($10.00 for 1 copy,  $20.00 for 2 copies, $ 30.00 for 3 copies, etc.)
Make the check or money order payable to: Digital Control Systems.

Compuserve registration SWREG ID:8729

We will also accept American Express, MasterCard or  VISA.
___ Check here to charge to your American Express account.
___ Check here to charge to your MasterCard account.
___ Check here to charge to your VISA account.

Name (as it appears on card):_______________________________________
Card Number:_______________________________ Exp date:_____________
Signature:______________________________________________________

If paying by credit card:
You may fax this form to (615) 216-0540.
You may send this form by email : ssactivate@dcs-net.net
You may also call us at: (615) 216-6007.
Or you may use our Postal mailing address (required for check or money order):

Digital Control Systems
1315 E Castle St #D3
Murfreesboro, TN. 37130