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Text File  |  1992-01-28  |  2KB  |  55 lines
  1.  
  2.                            ZCrypt v1.1
  3.                         Registration Form
  4.                          January 27, 1992
  5.  
  6. Micanopy MicroSystems, Inc.                  Ph:  904/376-1614
  7. 4139-49 SW Archer Road                       FAX: 904/374-6569
  8. Gainesville, FL. 32608                       CompuServe: 72740,1400
  9.  
  10. Please send:
  11.  
  12. _____ ZCrypt v1.2 Program and Documentation   @ $25 each $_______
  13.            (latest version on disk and hardcopy of
  14.             documentation and figures)
  15.  
  16. _____ ZCrypt Developers ToolKit ............. @ $50 each $_______
  17.            (includes the above, sample source code and
  18.             a copy of "A New Standard for Data Encryption
  19.             in Personal Computers" by David MacQuigg, PhD)
  20.  
  21. _____ 3.5" floppy diskette ............................. $__N/C__
  22.  
  23. _____ Shipping (see below) ............................. $_______
  24.  
  25.        (Florida residents please add 6% sales tax)   Tax $_______
  26.  
  27.                                                    Total $_______
  28.  
  29. Payment by (circle one):
  30.    Check    Visa    MC    PO #_________________________ (> $100
  31. only)
  32.  
  33.    Name: ________________________________________________________
  34.  
  35. Company: ________________________________________________________
  36.  
  37. Address: ________________________________________________________
  38.  
  39.          ________________________________________________________
  40.  
  41.          ________________________________________________________
  42.  
  43. Day Phone: _________________________ Evening: ___________________
  44.  
  45.  Card #: ________________________________ Exp. Date _____________
  46.  
  47. Cardholder Signature: ___________________________________________
  48.  
  49. Shipping: 1st Class Mail   $2.00       UPS Ground:     $3.90
  50.           UPS 2nd Day:     $8.00       UPS Next Day:   $12.50
  51.           Federal Express $17.50
  52.  
  53. Contact us for quantity purchase discounts.
  54.  
  55.