If you do not have access to the Internet, you can register via phone,

fax or postal mail. Please print out the following form, and fax or mail it to:

 

Mail Address 

Phone 

Fax

RegNow/Digital River

Dept# 3533-1

9625 West 76th Street

Eden Prairie, MN 55344

United States of America

Toll Free: 1-877-353-7297

Regular (International): 1-(952) 646-5331

 

Toll Free: 1-800-442-3172

Regular (International): +1 952-646-5604

 

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Registration form for Disk Checker

Program No.: 3533-1

Last name: ___________________________________

First name: ____________________________________

Company: ____________________________________

Street and #: ______________________________________

City, State, postal code: ________________________________

Country: _______________________________________

Phone: _____________________________________

Fax: ________________________________________

E-Mail: ______________________________________

 

How would like to receive the registration key?

e-mail - fax - postal mail

 

Pricing:

1-3 Licenses $15.00 each =

4-10 Licenses $14.00 each =

11-30 Licenses $11.00 each =

31-100 Licenses $9.00 each =

101+ Licenses $6.00 each =

Total payment=

 

How would you like to pay the registration fee:

credit card - wire transfer- cash

 

Credit card information (if applicable)

Credit card: Visa - Eurocard/Mastercard - American Express

Card holder: ________________________________

Card No.: ___________________________________

Date of Expiration : ___________________________________

Date / Signature ___________________________

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