Rich Levin's CHECKUP (tm) Version 3.9 REGISTER.DOC Copyright (c) 1988-1990 Richard B. Levin All Rights Reserved REGISTRATION FORM Please print, complete and mail this form within ten days to: Richard B. Levin Levin & Associates CHECKUP Version 3.9 Registration 9405 Bustleton Ave. P.O. Box 14546 Phila., PA 19115 Please make all checks and money orders payable in United States currency to "Richard B. Levin." International cheques and money orders will NOT be honored unless they are payable in United States currency through a United States bank. Purchase orders are accepted on a net terms basis with approved credit and a minimum initial purchase of $300.00. Orders are shipped FOB Philadelphia, via U.S. Mail or UPS. Site license and other information available on request. Prices, terms and conditions subject to change without notice. Please allow six weeks for delivery. For customer service inquiries, please call (215) 333-8274 or call our BBS at (215) 333-8275. PLEASE HAND PRINT CLEARLY USING PEN OR PENCIL. TO INSURE THE PROMPT PROCESSING OF YOUR ORDER, DO NOT USE COMPUTER PRINTERS TO COMPLETE THIS FORM. Date: _____/_____/_____ Your name and address: _________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ [ ] Corporate user. Business card attached. Home telephone number: ( ) - Work telephone number: ( ) - Data telephone number: ( ) - [ ] Check here if you would like information on site licenses [ ] Check here if you would like a representative to call Available registration payment plans: 1. HOME editions are available ONLY to users running the CHECKUP system on their personal computers in their homes. All other use is prohibited. 2. OFFICE editions must be purchased by all non-home users of the CHECKUP system. HOME editions may NOT be used in a non-home environment. 3. DELUXE editions include a bound volume of the CHECKUP system documentation and are available to all users. 4. PREMIUM editions include one DELUXE edition and one copy of Rich Levin's Osborne/McGraw-Hill book, "The Computer Virus Handbook" (available summer 1990). PREMIUM editions are available to all users. HOME editions ordered: [# ] x $ 24.95 = $ .00 OFFICE editions ordered: [# ] x $ 49.95 = $ .00 DELUXE editions ordered: [# ] x $ 74.95 = $ .00 PREMIUM editions ordered: [# ] x $ 99.95 = $ .00 ----------------------------------------------------------------- Total copies ordered: [ ] Subtotal: $ .00 Shipping and handling (see table*, below): $ .00 Pennsylvania residents add 6% sales tax: $ .00 ----------------------------------------------------------------- Amount enclosed: $ .00 ================================================================= * Shipping charges: HOME and OFFICE editions: $2.00 per copy DELUXE editions: $4.00 per copy PREMIUM editions: $6.00 per copy International orders please add $2.00 to the above charges for foreign shipping charges Disk format: [ ] 360kb [ ] 1.2mb [ ] 720kb [ ] 1.44mb Payment method: [ ] Check or money order (DO NOT SEND CASH) [ ] Bill me. My purchase order is attached. Please sign here: ______________________________________________ - End of REGISTER.DOC -