## RemoteDB Gateway - User Registration Form

    1. User information:

    Name: ___________________________________________________________
    Title: __________________________________________________________
    Company: ________________________________________________________
    Address: ________________________________________________________
    City: ___________________ State: _____________ ZIP: _____________
    Country (if other than US): _____________________________________
    Phone number: (___)______________ Date (MM/DD/YY): ____/____/____
    E-mail address (optional): ______________________________________

    2. Server Information

    When you register the software, a license key will be distributed
    that will activate the software for the registered number of users.
    The license is only valid on a single computer.  To generate this
    license key, the author will need to have a Globally Unique Identifier
    (GUID) generated for the computer on which the RemoteDB Gateway server
    software will be installed.  To generate a GUID, please use the "Create
    GUID..." option on the File menu of the RemoteDB Gateway server.

    If you already have a computer designated to run the RemoteDB Gateway
    server software, please generate a GUID using the method described
    above and enter the GUID in the space provided below.  A license key
    will be generated and sent along with the software distribution.

    GUID: ___________________________________________________________

    If you do not have a computer designated at this time, a license key will
    not be generated until this information becomes available.  You may
    either call or E-mail the author and a license key will be distributed.
    Please be sure to properly identify yourself when making the request.

    3. Shipping and Handling (check one):

    __ E-mail ZIP file to: __________________________________________
    __ 3 1/2" DS/DD disks

    4. Payment and fees:

    Fees are in U.S. dollars, payments must be made in checks
    or money orders drawn on U.S. banks. Payment must be mailed
    together with this form.  Make checks or money orders payable to:

       Nogginware Corporation

    Check all that apply and fill in the blanks:

    __ One registered copy of RemoteDB Gateway.................$ 60.00
    __ 5-User License..........................................$ 90.00
    __ 10-User License.........................................$150.00
    __ 25-User License.........................................$300.00
    __ 50-User License.........................................$450.00
    __ Additional Licenses (__ Users @ $8.00/User).............$______
    __ U.S. Shipping and handling (if other than E-mail).......$  8.00
    __ Non U.S. Shipping and handling (if other than E-mail)...$ 10.00

    Total:.....................................................$______

    5. Mail this form together with payment to:

       Nogginware Corporation
       2506 Branding Iron Ct.
       Herndon, VA 20171
       USA

    6. Software Distribution

    Once payment has been received, a license key that activates the software
    for the requested number of users along with the current version of the
    software will be distributed.  This distribution will typically occur
    within 24 hours of payment receipt.  For the fastest service, please check
    E-mail as the preferred means of software distribution.