Registration form for Remote Process & Shutdown Service 1.2.1h

Name:
Organization:
Address Line 1:
Address Line 2:
City:
State or Province
Postal code:
Country:
Phone:
Fax:
Email:

Registration options:

A single registration licenses you to use both the client and 
server applications on two (2) interconnected computers.

Registration options:

Two user registration and diskette $15.00 + $5.00 shipping,
Number of copies of Remote Process & Shutdown Service  on diskette:________
Select desired disk format....   3.5"____ or  5.25"____

Two user registration	$15.00.	 Qty: ______
Five user registration	$30.00.	 Qty: ______
Ten user registration	$50.00.	 Qty: ______
Fifty user registration	$200.00. Qty: ______
100 user registration	$350.00. Qty: ______
500+ user registration	$1500.00 Qty: ______

Payment methods:
If paying by check or money order, payment should be in US funds.
Checks must be drawn on a US or Canadian Bank.
Make the check or money order payable to: Digital Control Systems.

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 mailed or faxed):

If paying by credit card:
Use the secure on-line transaction server on our website, or if you prefer;
You may fax this form to 1-615-413-5089.
You may send this form to this email address :  rpss@digconsys.com
You may also call us at: 1-615-216-6007 or 1-877-253-8089.
Or you may use our Postal mailing address (required for check or money order):

Digital Control Systems
1315 East Castle St. #D3
Murfreesboro, TN 37130-4545
USA