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Alt-N Technologies MDaemon Registration Procedure

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Always check http://www.altn.com for the latest registration information,

procedure instructions, and product updates.

The following methods are available for registering MDaemon and obtaining a
full version registration key:

1) A secure version of this order form can be found at the MDaemon homepage
(http://www.mdaemon.com). If you use that form then you don't need to
do anything with this one. Placing your order online is the best method
as this will complete your order properly.

2) Complete and return this registration form. This option should *ONLY* be
used if you are having problems with the online store.

To return the form, send it via email to sales@helpdesk.altn.com.

You can also return it via fax to 817.601.3223.

3) Following registration your license key must be activated using the

Registration Key Activation Wizard within MDaemon.

If you are having problems with the online store your best resource would be
to call our sales department first. This will allow you to more quickly
complete your order. You can contact us at 817.601.3222.

<Begin Registration Form>

Personal Info
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Name:_____________________________________________________________

Company:__________________________________________________________

*NOTE* All address info must MATCH the BILLING records for the
credit card you will be using. This is not a shipping
address.

Address:__________________________________________________________

City:__________________________________ State/Province:___________

Zip/Postal Code:________________

Country:__________________________________________________________

Phone:__________________________ Fax:_____________________________
 Email Address:____________________________________________________

Payment Method
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[ ] Master Card #_______________________________________

[ ] Visa Card #_______________________________________

[ ] AMEX #_______________________________________

[ ] Discover #_______________________________________

Expiration Date:_________________________

Security Code (CVV2):___________________________

3 digits on the back of the card (not part of the account

number) usually at the end of the signature panel.
On American Express, the security code is on the FRONT of
the card, it is 4 non-raised digits and is NOT part of the
account number.

EXACT Name on Front of Credit Card:

__________________________________________________________________

[ ] Check* / Money Order*

[ ] Wire Transfer*

*NOTICE* If you choose to pay by check/money order/wire transfer

you will not get your new license information until the
payment has been received.

Purchase
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*New License:

[ ] 6 users [ ] 12 users

[ ] 25 users [ ] 50 users

[ ] 100 users [ ] 250 users

 [ ] 500 users [ ] 1000 users

[ ] Unlimited users

[ ] Standard version

[ ] Pro version

== OR ==

*Renewal License:

Old Registration Key:___________________________________

== OR ==

*Upgrade License:

Old Registration Key:___________________________________

Old License Size:_______ Type:_______

New License Size:_______ Type:_______

(must be larger than old!)

<End Registration Form>