REGISTRATION & INVOICE Note that the ATBASH2 software has been delivered and accepted by the customer. Upon receipt of this paid invoice, the printed documentation and disks paid for (if any) will be sent. Disks and manuals can only be sent to U. S. or Canadian destinations. Remit to: Ship to: Mike Johnson ________________________________ PO Box 1151 ________________________________ Longmont CO 80502-1151 ________________________________ USA ________________________________ Contact person: ________________________________ ________________________________ Email address:__________________ Quantity Description Unit Price Total ________ ATBASH2 registration with disk & manual. $49.00 ______ ________ ATBASH2 single copy registration only. $20.00 ______ ________ Site license for unlimited use of ATBASH2 at one corporation (includes one disk & one manual). $295.00 ______ Sales tax (if you are in Colorado) ______ Shipping and handling if a disk and manual has been ordered. $5.00 ______ Total ______ Please check all that apply to you (and only those that apply to you): __ I am a citizen of the United States of America or Canada. __ I am not a citizen of the USA, but I am a permanent resident (with a "green card"). __ I promise not to export ATBASH2 without proper legal authority and without registering every copy in use. __ I promise not to give ATBASH2 to anyone who would export it without legal authority or use it without registering it. __ I prefer 3.5" disks. __ I prefer 5.25" disks. __ I want the source code password, and won't reveal either the source code or the password to others. _____________________________________________ _______________ Signature Date