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  1.               ChekMate v1.06b Registration Form
  2.               (USA and Canada ONLY)
  3.               _________________________________
  4.  
  5.         To:     Ed Fenton (ChekWARE),
  6.             Rockville Information Services, Inc.,
  7.             PO BOX 14,
  8.             Rockville Centre,
  9.             NY 11571-0014,
  10.             U.S.A
  11.  
  12.         From:   Name:           _________________________
  13.     
  14.             Address:        _________________________
  15.                     _________________________
  16.                     _________________________
  17.                     _________________________
  18.                     _________________________
  19.  
  20.             Phone no:       _________________
  21.  
  22.  
  23.                         E-Mail:         _________________
  24.  
  25.  
  26.     Please supply me with the following materials:
  27.  
  28.     Registered version of ChekMate 1.06b with:
  29.  
  30.     CMOS Protection.
  31.     Extra Interrupt checking.
  32.     Interrupt Tracing.
  33.     Interrupt Address Exclusion.
  34.     /QUIET Option.
  35.     No NAG Screen.
  36.     Formatted Manual (Write, Word 6.0, AmiPro or PostScript)
  37.     (Includes Lots More Information).
  38.  
  39.         Price Includes ALL Updates via Email For One Year.
  40.         Updates supplied on diskette are charged at $7 (US) per upgrade.
  41.  
  42.     1 Years License for  _____ Copies at ___.___ each (US Dollars)
  43.             
  44.                                         
  45.         Total payment: _______________
  46.  
  47.  
  48.         (Please specify disk size required )     3.5"/ 5.25"
  49.                             (720 /1.2 or 360)
  50.  
  51.         Price includes Shipping and handling charges.
  52.  
  53.  
  54. Please only send Cheques in US / Canadian Dollars only, thank you.
  55.  
  56. It would be very helpful if you could briefly indicate where your
  57. evaluation copy of ChekMate came from:
  58.  
  59. ____________________________________________________________________________
  60.  
  61. Also could you please state the reason(s) why you chose ChekMate:
  62.  
  63. ____________________________________________________________________________
  64.  
  65. ____________________________________________________________________________
  66.  
  67. ______________________________________________________________________________
  68.  
  69. Would you object to your company/site being used in advertising ChekMate or
  70. being a reference site?
  71.  
  72. (Y / N) *Delete as appropriate, Thank you.
  73.  
  74.                 ChekMate
  75.            Price List (One year license)
  76.            =============================
  77.  
  78.            Quantity           Price per PC (US Dollars)
  79.            ----------         ------------
  80.            0001 - 0010        25 
  81.            0011 - 0020        20
  82.            0021 - 0050        17
  83.            0051 - 0100        13
  84.            0101 - 0500        10
  85.            0501 - 1000        07
  86.            1001 - 5000        04
  87.            5001 +             Call
  88.  
  89.            Discounts are available for educational
  90.            centres and students.
  91.  
  92.            (Please email me for a quote.)
  93. ______________________________________________________________________________
  94.