signetsure registration form

please enter all the information on the form. the name and address you enter must match the name and address for the credit card account.

first name
last name
organization
street address
city
state
zip code	-
country
area code - phone	-
enter email address to which registration certificate will be sent.
email
i am purchasing a single-user license. i agree that the registration certificate (sgncert.ini) will be installed on only one machine at any given time. my initials on the following line signify that i have read and understand this.
initial for acceptance.

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