LJVGA/LQVGA REGISTRATION FORM v2.00 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: ___________________________ FAX: ___________________________ eMail: _________________________________________________________ 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 [] 80286 [] 80386 [] 80486 Current S/N: ____________________________ (for reference only) Where did you get LJVGA? : ________________________________________________ Additional comments or suggestions: 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!