      -----------------------------------------------------------------
                   KEY-DISK Registration Form
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      1- Print this form on A4 paper (ex: type VENDOR.TXT >LPT1)
      2- Obtain a windowed envelope.
      3- Introduce your payment and this form.
      4- Stamp the letter.


                                    B.T.I Software
                                    6 avenue Victor Hugo
                                    13600 LA CIOTAT FRANCE

      I the undersigned,
      First Name / Company:..........................................
      Surname / Service   :..........................................
      Address : .....................................................
      Postcode City Country: ........................................
      Phone: ............. Fax: ............. Other: ................
      wants to obtain an user license for KEY-DISK.

      Desired floppy (for shipping): [ ] 3"50 HD1.44   [ ] 5"25 HD1.2
      Desired tongue (help text)   : [ ] Francais      [ ] English
      Computer Type   : ................ Processor speed: .............. Mhz
      DOS/WIN versions: ................ Language+nversion: ...............

      Desired Libraries (one by license):
     . system MSDOS (ver 4.0 to 7.0):
    [ ]runtime DOS  [ ]TPU6      [ ]TPU7     [ ]TPP7DPMI    [ ]DLL7DPMI
     . system WINDOWS 16-bits (ver 3.1 to 3.11 WorkGroups):
    [ ]runtime WIN  [ ]DLLWIN16  [ ]DCU1WIN16 (Delphi 1.0)  [ ]TPW7WIN (BPW7)
     . system WINDOWS 32-bits (WIN 95):
    [ ]runtime WIN  [ ]DLLWIN32  [ ]DCU2WIN32 (Delphi 2.0)

    I pay in check, currency, money order or transfer for the license(s):
    (if transfer, contact us for bank reference)
   Standard key protection:          100 keys (illimited) Qty    Total
    DSK (read procedure & tools)      : $ 20   ($  450)  x ...  = ........ $
    DSK + keywrit (write procedure)   : $ 25   ($  570)  x ...  = ........ $
    DSK + keywrit + DD version Mono   : $ 35   ($  640)  x ...  = ........ $
    DSK + keywrit + DD version NetWork: $ 45   ($  680)  x ...  = ........ $
   Date-counter protection:
    DSK + keywrit + DD version Mono   : $ 50   ($  660)  x ...  = ........ $
    DSK + keywrit + DD version NetWork: $ 60   ($  690)  x ...  = ........ $
   Direct MS-DOS .exe protection:
    EXE version Mono                  : $ 20   ($  450)  x ...  = ........ $
    EXE version NetWork               : $ 25   ($  570)  x ...  = ........ $
   Personalized compiling & Maintenance (1st order only) x ...  = ......40 $
   Complete Demo on the 3 products    : $  1             x ...  = ........ $
   Library anti-hacker                : $ 45             x ...  = ........ $
   Bank commission ($ 18.00 on foreign check)                   = ........ $
   Shipping & Handling                                          =        5 $
   TOTAL HT                                                     = ........ $
   BEYOND 100 KEYS, REDUCTION=Number of key ordered/100%        = ........ $
    (reduction limited to 50%, ex: 2% of Total HT for 200 keys)
   DISCOUNT 30% Publ.Estab/Teach. 50% Stud./School (join justif)= ........ $
   TOTAL HT after reduction                                     = ........ $
   VAT (20.6%)                                                  = ........ $
   TOTAL ENCLOSED (tariff 04/97)                                = ........ $

      My subscription involve my complete agreement to the license model
      in my possession (see KD.TXT). Signing,
      At .................... The ...............

