Win-Secure Registration Form

          v1.0a


          Please complete this form and mail it with your check or money
          order to:

                                  Thomas Mutaffis
                            C/O The InterLink Network
                                   P.O. Box 215
                          Garwood, New Jersey 07027-0215


              Name: ___________________________________________

           Company: ___________________________________________

            Title: ___________________________________________

           Address: ___________________________________________

                    ___________________________________________

  City, State, Zip: ___________________________________________

       Voice phone: ___________________________________________

        Data phone: ___________________________________________


   Diskette format: 5.25" disk  ___   3.5" disk ___


  All registrations also include registration to the support BBS with
  unlimited download access at (908) 232-0308

  Indicate the password you would like use? : __________________


  Where did you get Win-Secure? : ______________________________

  ______________________________________________________________

  Additional comments or suggestions: __________________________

  ______________________________________________________________

  ______________________________________________________________

  ______________________________________________________________

  ______________________________________________________________






          Win-Secure Registration Form,  Page 2



         Single-User License - for one user only:

         Registration only with Electronic (BBS) Upgrade  $15   ______

         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!