CERBERUS SYSTEMS, INC.
Windows®-compatible encryption
ORDER FORM
FOR
EXPORT-CONTROLLED ENCRYPTION SOFTWARE
Software cryptosystems incorporating high-grade ciphers without a user-independent mechanism for key recovery are considered encryption items - Category EI in the Commerce Control List, 15 CFR 774. Under the Export Administration Act, 50 USC 2401 the penalty for unlicensed export from the USA is a fine, not to exceed $1,000,000 and/or prison term, not to exceed 10 years for each offense.

Our export-controlled products can only be lawfully licensed to customers who are either:

  1. A citizen of the United States of America or person who has been lawfully admitted for permanent residence in the USA under the Immigration and Naturalization Act, who is requesting delivery in the USA and plans to install the product(s) only on computers located in the USA, and who agrees to comply with all applicable US export control regulations and pay all applicable state sales taxes for delivery outside Massachusetts; or

  2. A citizen of Canada, who is requesting delivery in Canada and plans to install the product(s) only on computers located in Canada, and who agrees to comply with all Canadian law regulating the export from Canada of strong cryptographic software obtained from the USA and pay all applicable provincial sales taxes.

To place an order that you warrant meets all of the conditions in either category 1 or category 2, please use your web browser to print a copy of this form and fill it out completely, either by typing or block lettering, and sign it. Credit card orders (Amex, only) may be faxed to 978-454-4600. Otherwise, mail it and your check to:

Cerberus Systems, Inc.
3 Whispering Pines Drive
Andover, MA 01810-3421

Upon receipt of the Basic License Fee and US$10-per-copy Registration Fee(s), after verification of the US or Canadian location of the Internet domain name for requested e-mail delivery, we will send you a self-extracting e-mail attachment of less than 100K in size that will convert your installed copy of the 32-bit or 16-bit demonstrator into the corresponding fully-functional, individually-licensed cryptosystem.

If we are unable to confirm the domain name location we will so-notify you by e-mail. In that case, or if you have requested physical media, we will mail 1.44MB diskettes to your US or Canadian residence upon payment of the US$10-per-copy Media Fee and applicable Shipping Charges.

NOTE: Cerberus customer names and addresses are held confidential and are not sold to others.

PRODUCT
ORDERED _____________________________________
LICENSEE / USER
( signature below )
__________________________________________

BASIC LICENSE FEE: US$____________
ORGANIZATION
__________________________________________

REGISTRATION FEE: US$____10.00___
STREET ADDRESS
__________________________________________

OPTIONAL MEDIA FEE: US$___________
TOWN OR CITY
__________________________________________

MA RESIDENTS +5%: US$____________
STATE OR PROV.
_______ ZIP/POSTAL CODE__________________

TOTAL ENCLOSED: US$____________
E-MAIL ADDRESS
for product delivery
__________________________________________

MULTIPLY x1.5 for Checks in: CA$____________
AMEX CARD NO.
__________________________ EXPIRES_______

I hereby warrant that I understand and accept
the License Agreement and that this order fully
complies with the conditions of category #___:




SIGNATURE____________________________________ DATE_______


Cerberus Systems, Inc. develops, manufactures and markets
software cryptosystems designed to level 1 of FIPS PUB 140-1
with DOD 5220.22-M disk data recovery countermeasures.