REGISTRATION FORM
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Please fill out the following form to register this copy of CheckSec.

To register CheckSec, please fill in all of the blanks, print out the form
(or print it then fill out the form), and send it plus the registration fee
Snail Mail to the following Address:

                            Jason Horne
                            Rt. 3 Box 297
                            Richlands, NC 28574 (USA)

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Thank you for registering this copy of CheckSec. Please answer these
questions so that I may send you your registered version.


Full Name : _________________________________________________________


If it is not the same, what is the name of user #1 in your USERS.BBS file?
By the way, this MUST remain the same for the registration to last!

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Complete Mailing Address : __________________________________________

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( This is REQUIRED so that I may send you your registered version! )

BBS Name, Phone Number, Net/Node : __________________________________

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Net/Node is REQUIRED if you wish me to send your program Net-Mail!

Registration of CheckSec                          :      $4.00

Please mark which type of registration you prefer...

[ ] Send me $1 extra plus any diskette and I will mail
    your registered copy back to you.

[ ] Send me $3 extra and I will send you a registered
    version on a diskette of my own

[ ] Send $1 extra and I will send it to you Net-Mail
    (FidoNet addresses ONLY)

Please write the subtotal from the one you choose here   $______________

TOTAL AMOUNT ENCLOSED                                    $______________

Please write any comments or suggestions here:

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I will process your registration as quickly as possible!

Jason Horne,
Programmer-In-Chief, CEO, Documentation Author, et cetera...