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 or 10US$ per module, offer valid until 31st Dec. 1998)!

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$ |     |     |     | DKr |     |
                                  Can$ |     | IR£ | FMk | NKr |     |
                                   DM  | US$ | GB£ | FFr | SKr | HFl |  LIT
  For complete package consisting of PhotoAlbum and CyberShow Professional
   (picture manag.&present.):-> X  50  |  35 |  25 | 180 | 250 |  60 | 60000

  in addition for ImageFXMod.:  O  10  |   7 |   5 |  40 |  50 |  10 | 11000
  in addition for XiPaintMod.:  O  10  |   7 |   5 |  40 |  50 |  10 | 11000
  in addition for UniversalGIO: O  10  |   7 |   5 |  40 |  50 |  10 | 11000
  (Module orders only possible in conjunction with complete package order!!)


  Total price:              ___DM,C$,A$ ___US$  __£  ___F ___Kr __HFl _____L

  O I included banknotes or a cheque (e.g. EuroCheque or bank order cheque)
  O I payed with international postal money order cheque


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 6.0 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: