netsec_regS1.0.1
                           REGISTRATION FORM
 Name: ______________________________________________________________

 Company name: ______________________________________________________

 Address: ___________________________________________________________

          ___________________________________________________________

 City: ___________________________ State ____________ Zip ________

 Telephone: (____)____________   (Work)

 Telephone: (____)____________   (Home)

 Please provide us with some additional information so we may better
 serve your needs.
 Did you download this from a BBS?   _____ Internet? ______

 If you downloaded this from a BBS what is the telephone number of the

 BBS? (____)_________________

 Did you find all the files in the download? ____

 Did the help files provide enough information? ____

 What version do you currently have? __S1.0.1_______

 NETSEC LITE  ___ x $50.00 (U.S.)  =  _______________

 NETSEC PRO   ___ x $99.00 (U.S.)  =  _______________

 Florida,(U.S.) residents add 6% sales tax _________

                             Total:   _______________

 Disk type: 3.5 (1.4MB)  ___  5.25 (1.2MB)  ___

 Send check or money order to:    Eugene Derbin
                                  1979G N.W. 4th. Ave.
                                  Boca Raton, Fl. 33432
                                  U.S.A.

 Thank you for supporting shareware programmers!

                             DISCLAIMER
 The authors hereby disclaim all warranties relating to this software,
 whether express or implied, including without limitation any implied
 warranties of merchantability or fitness for a particular purpose. We will
 not be liable for any special, incidental, consequential, indirect or
 similar damages due to loss of data or any other reason, even if we have
 been advised of the possibility of such damages. In no event shall our
 liability for any damages ever exceed the price paid for the license to
 use this software, regardless of the form of the claim. The person using the
 software bears all risk as to the quality and performance of the software.
