Shareware Registration Form
===========================

I want to register for the below selected Shareware products to get the full
versions and agree with the disclaimer, copyright, usage and distribution
conditions stated in the documentation.

Important note: The universal modules for ImageFX, Photogenics and XiPaint
  CAN ONLY BE ORDERED TOGETHER WITH THE COMPLETE PACKAGE of PhotoAlbum and
  CyberShow Pro (picture management and slideshow presentation and viewer
  software for all Amigas with at least OS3.0)! Separate module orders are
  only possible for persons already registered for the complete package (in
  this case:15DM, 7.67EUR or 10US$ per module, offer valid until December 2000)!

I send this form to:                    My address is
--------------------                    -------------

   Helmut Hoffmann                      Name:

   Rubensstrasse 4                      Street:

   D-41063 Moenchengladbach             City:
					State / Zip-Code:
   Germany
                                        Country:
                                        EMail:
                                  SFr  |
Payment:                          Aus$ |       |     |     |     |
                                  Can$ |       |     |     |     | NKr
                                   DM  |  EUR  | US$ | GB£ | DKr | SKr
  Complete package of PhotoAlbum and CyberShow Professional (picture
    management & presentation): O  50  | 25,56 |  35 |  20 | 200 | 250

  in addition for ImageFXMod.:  O  10  |  5,11 |   7 |   5 |  50 |  50
  in addition for XiPaintMod.:  O  10  |  5,11 |   7 |   5 |  50 |  50
  in addition for UniversalGIO: O  10  |  5,11 |   7 |   5 |  50 |  50
  (add-on prices only valid in conjunction with complete package order!)

  Total price:                  _____

  O I included banknotes or a cheque (e.g. EuroCheque or bank order cheque)
    (for cheques from european countries EUR or DM are the prefered currencies)
  O I payed with international postal money order cheque
  O I payed the amount plus an additional 12DM (6,14EUR or 8US$)(for possible bank
    transfer fees subtracted by receiving banks) by international bank transfer on
     __.__.____ on your postal account number 550275438 at Postbank Essen,
     Germany (Bank code 36010043)


Location/Date:__________________    Signature:________________________
-> Please do not forget your signature, as otherwise your order can be
   delayed until you have sent a signed registration form! <-

I am currently using XiPaint module demo version 6.1 which I got from
O CD-ROM "___________"     O AmiNet                     O PD-Disk "________"
O a friend                 O a BBS or Mailbox           O __________________

System configuration: Amiga:_____   or Draco:_____
  CPU: 680__ with ___MHz            ChipMem: ___MByte  FastMem: ___MByte
  Graphic board: ________________   Framegrabber: _________________________
  Motion video board: ___________   Scanner: ______________________________
Amiga-OS: __.__ (at least OS3.0!)   CyberGraphX: _________ (optional)

Painting and Image Processing programs:
Comments/Suggestions: