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  1.  
  2.                                 Registration
  3.                                 ------------
  4.  
  5.      Registering XGATE allows you to use this product after the trial
  6.      period expires for an indefinite period of time.  Registered XGATE
  7.      users will be sent mailed notifications of XGATE updates.  Most
  8.      importantly, registered users know they are helping to ensure that
  9.      high-quality software like XGATE can continue to be distributed in
  10.      this low-cost manner.
  11.  
  12.      To print this file from the Dos prompt type "COPY REGISTER.DOC PRN"
  13.      (before doing so you might want to fill it in with a text editor).
  14.  
  15.  
  16.  
  17.  
  18.  
  19.                           XGATE 3.0 Registration Form
  20.     ┌──────────────────────────────────────────────────────────────────────┐
  21.     │                                                                      │
  22.     │                                                                      │
  23.     │       Name ______________________________________________________    │
  24.     │                                                                      │
  25.     │    Company ______________________________________________________    │
  26.     │                                                                      │
  27.     │    Address ______________________________________________________    │
  28.     │                                                                      │
  29.     │            ______________________________________________________    │
  30.     │                                                                      │
  31.     │            ______________________________________________________    │
  32.     │                                                                      │
  33.     │      Phone ________________________  Bus. _______________________    │
  34.     │                                                                      │
  35.     │                                                                      │
  36.     │    Check all that apply:                                             │
  37.     │                                                                      │
  38.     │    [ ]  Single MHS host license ........................  $995.00    │
  39.     │                                                                      │
  40.     │    [ ]  Additional MHS host licenses ___ @ $195.00 ea ..  ____.__    │
  41.     │                                                                      │
  42.     │    [ ]  Unlimited MHS host license ..................... $2495.00    │
  43.     │                                                                      │
  44.     │    [ ]  California residents add 8.25% sales tax .......  ____.__    │
  45.     │                                                                      │
  46.     │    [ ]  Shipping and handling inside United States .....    10.00    │
  47.     │                                                                      │
  48.     │    [ ]  Shipping and handling outside United States ....    25.00    │
  49.     │                                                           =======    │
  50.     │                                                                      │
  51.     │                                                     Total ____.__    │
  52.     │                                                                      │
  53.     │                                                                      │
  54.     │    Diskette type:  [ ] 5.25"  [ ] 3.5"                               │
  55.     │                                                                      │
  56.     │    Method of Payment:                                                │
  57.     │                                                                      │
  58.     │          [ ] Check  [ ] Money Order  [ ] Visa  [ ] MasterCard        │
  59.     │                                                                      │
  60.     │          Account Number _________________________________________    │
  61.     │                                                                      │
  62.     │          Name As It Appears on Card _____________________________    │
  63.     │                                                                      │
  64.     │          Expiration Date ___/___  Signature _____________________    │
  65.     │                                                                      │
  66.     │          Credit Card Orders may be placed by phone:  800-776-1322    │
  67.     │                                                                      │
  68.     │          Checks & Money Orders must be from US banks in US funds!    │
  69.     │                                                                      │
  70.     │          Please make checks payable to: DAC Micro Systems            │
  71.     │                                                                      │
  72.     │                                                                      │
  73.     │   DAC Micro Systems, 40941 176th Street East, Lancaster, CA  93535   │
  74.     │           Voice: 805-264-1700, Bulletin Board: 805-264-1219          │
  75.     └──────────────────────────────────────────────────────────────────────┘
  76.  
  77.  
  78.  
  79.                          XGATE 3.0 Optional Information
  80.     ┌──────────────────────────────────────────────────────────────────────┐
  81.     │                                                                      │
  82.     │                                                                      │
  83.     │    Where did you obtain XGATE?                                       │
  84.     │                                                                      │
  85.     │          ________________________________________________________    │
  86.     │                                                                      │
  87.     │                                                                      │
  88.     │    Which MHS-based E-Mail application are you using?                 │
  89.     │                                                                      │
  90.     │          ________________________________________________________    │
  91.     │                                                                      │
  92.     │                                                                      │
  93.     │    Can we list your name and company as a reference?                 │
  94.     │                                                                      │
  95.     │          ________________________________________________________    │
  96.     │                                                                      │
  97.     │                                                                      │
  98.     │    Comments or Suggestions:                                          │
  99.     │                                                                      │
  100.     │          ________________________________________________________    │
  101.     │                                                                      │
  102.     │          ________________________________________________________    │
  103.     │                                                                      │
  104.     │          ________________________________________________________    │
  105.     │                                                                      │
  106.     │          ________________________________________________________    │
  107.     │                                                                      │
  108.     │          ________________________________________________________    │
  109.     │                                                                      │
  110.     │          ________________________________________________________    │
  111.     │                                                                      │
  112.     │          ________________________________________________________    │
  113.     │                                                                      │
  114.     │          ________________________________________________________    │
  115.     │                                                                      │
  116.     │          ________________________________________________________    │
  117.     │                                                                      │
  118.     │          ________________________________________________________    │
  119.     │                                                                      │
  120.     │          ________________________________________________________    │
  121.     │                                                                      │
  122.     │          ________________________________________________________    │
  123.     │                                                                      │
  124.     └──────────────────────────────────────────────────────────────────────┘
  125.