NetLink Remote (TM) Registration

Please fill out this form completly.
I promise not to sell my name list to any orgnaization. I hate junk mail.

When complete, encrypt it using the public key ( JoeK's Key.pgp ) with MacPGP and send it to the following address with the subject "NetCash Payment."

NetLinkR@AOL.com

This form will be replaced by a web page in the near future.

<******************** Begin Form ********************>
Version: 1.0.3

Name: 
Organization: 

Do you want NetLink to be registered to the organization?: 

Do you wan't a paper mail reciept?: 
* If the above is yes, add $1 US to the total amount and fill out the address info.

Street Address: 
City: 
State: 
Zip: 
Country: 

E-mail Address: 
Do you want updates and news sent by E-mail?: 

* 1 = $10 US, 2 = $15 US, additional lisences are $7.50 US each.
* 2 registered copies are required to avoid the 10 minute time limit.

Number of Licenses: 
Total of NetCash Tokens enclosed: 

* List the NetCash Tokens
<* Begin List *>

<* End List *>

* If you want the reply to be encrypted too, fill in your PGP public key.
PGP Public Key: 

<******************** End Form ********************>

If you would like to send any additional info, put it here.