Registration form for Remote Process & Shutdown Service 1.2.0c

Name:____________________________________________________
Organization:____________________________________________
Address:_________________________________________________
	_________________________________________________
City:____________________________________________________
State or Province:_______________________________________
Postal code:_____________________________________________
Country:_________________________________________________
Phone:_______________________Fax:________________________
Email:	_________________________________________________

A single registration licenses you to use both the client and 
server applications on two (2) interconnected computers.

Check the licensing option desired:
____A two (2) computer license will cost $15.00 U.S.
____A five (5) computer license will cost $30.00 U.S.
____A ten (10) computer license will cost $50.00 U.S.
    For other license options contact us first.

____Check here (or indicate quantity) if you wish to receive a 
    copy on a diskette. The price per diskette will be increased 
    by $5.00 to cover media cost, handling, and shipping.
    Select desired disk format....   3.5"____ or  5.25"____

Payment methods

___ Check here if paying by check or money order.
    Payment should be in US funds.
Make the check or money order payable to: Digital Control Systems.

You may register this program via Compuserve (GO SWREG, ID:10758)

We will also accept American Express, MasterCard or  VISA.
___ Check here to charge to your American Express account.
___ Check here to charge to your MasterCard account.
___ Check here to charge to your VISA account.

Name (as it appears on card):_____________________________________
Card Number:_______________________________ Exp date:_____________
Signature:________________________________________________________

If paying by credit card:
You may fax this form to 1-615-889-9595.
You may send this form to our email address: 73347.145@compuserve.com.
You may also call us at: 1-615-889-6357.
Or you may use our Postal mailing address (required for check or money order):

Digital Control Systems
P.O. Box 505
Hermitage, TN. 37076-0505
USA