LJVGA REGISTRATION FORM v1.61 Please complete this form and mail it with your check or money order to: Ares Technologies 243 Fairfax Rd. Blacksburg, VA 24060 Name: ___________________________________________ Company: ___________________________________________ Title: ___________________________________________ Address: ___________________________________________ ___________________________________________ City, State, Zip: ___________________________________________ Voice phone: ___________________________________________ Data phone: ___________________________________________ Diskette format: 5.25" disk ___ 3.5" disk ___ Operating System: DOS 3.3 ___ DOS 4.0 ___ DOS 5.0 ___ DRDOS 5.0 ___ DRDOS 6.0 ___ Other: __________________________ CPU: 8086: ___ 286: ___ 386: ___ 486: ___ Current S/N: ___________________ (for reference only) Where did you get LJVGA? : ______________________________________ Additional comments or suggestions: _____________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ LJVGA REGISTRATION FORM, Page 2 Single-User License - for one user only: Registration only $10 ______ Full Registration, includes diskette with current version and next major update $20 ______ Lifetime Registration, include permanent registration and automatic shipping of every release $50 ______ Site License - for multiple users: Includes one diskette with the current version and one diskette with the next major update 2 - 10 computers $20/ea. ___ x $20 ______ 11 - 25 computers $15/ea. ___ x $15 ______ 26 - 50 computers $12/ea. ___ x $12 ______ 51 - 100 computers $10/ea. ___ x $10 ______ over 100 computers $1000 one-time fee ______ Additional diskettes available at $7 each. (Full registration or site license only.) ___ x $7 ______ Please add $4 shipping and handling per order ______ Total Enclosed ______ Thank you for your support!