
[ Note:  You may print out this form to register WinGuard. ]

WINGUARD V.2.3 REGISTRATION FORM  -  PLEASE TYPE OR PRINT CLEARLY

Date ___________________________

Name of Registered User (for Individual License):

_________________________________________________
(or)
Name of Registered Institution (for Site License):

_________________________________________________
(If multiple, list on the back of this form.)

Mailing Address _________________________________________________

Mailing Address _________________________________________________

Mailing Address _________________________________________________

Internet E-Mail Address __________________________

Please fill in the appropriate line with the amount enclosed:

One Individual License @ $20.00 = $____.00

_____ Single-Building Site License(s) @ $75.00 = $_____.00

One Individual License Upgrade @ $10.00 = $___.00

_____ Single-Building License Upgrade(s) @ $50.00 = $_____.00

(Massachusetts residents:  Please include 5% state sales tax.)

(All of the above prices include shipping and handling costs.)

Please send this form, along with payment (or purchase order) to:

                 Cetus Software

                 Post Office Box 700

                 Carver, MA 02330, USA

CETUS SOFTWARE THANKS YOU FOR YOUR WINGUARD REGISTRATION !!!
