Registration form for Middle Mouse Button 1.9.0b

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

Number of copies of MBUTTON to register:         ________
Number of copies of Mbutton on diskette required:________
The price for a single registration is $10.00.
The price if ordering a diskette is $15.00 to cover media and shipping.
Select desired disk format....   3.5"____ or  5.25"____

Call for site / organization license info if registering 5 or more copies.

Payment methods:
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: 7865)

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 (615) 889-9595.
You may send this form to our email address : 73347.145@compuserve.com.
You may also call us at: (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