General Systems                                              .........
     2202 Cooke Dr                                                : PLACE :
     Killeen, TX  76543                                           : STAMP :
                                                                  : HERE  :
                                                                  :.......:










                             General Systems
                             2202 Cooke Dr
                             Killeen, TX  76543









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                               Staple or tape here




       Secure v4.0 Product registration card



       Name : ............................................................

       Business Name : ...................................................

       Address : .........................................................

       Address : .........................................................

       City : ................... State : ............... Zip : ..........

       Phone : ............................. Ext : .......................


       Product Comments : ................................................

       ...................................................................

       ...................................................................

       ...................................................................

       Pricing and Registration Information:

               Register Current Copy :       $  45.00 x Qty ____ = $______
               (No printed manual and no
               notice of product updates.)

               Register Commerical Version : $ 109.00 x Qty ____ = $______
               (Printed manual, notice of
               upgrades, and full technical
               support.)
                                                                 ---------

                                                  Sub-total : $___________

                                                  S&H :            $  2.50


                                         Total Enclosed :  $______________