Name     : ____________________________________   Phone  : ________________

Address  : ____________________________________   Fax    : ________________

           ____________________________________   Cust. #: ________________

                                                  Date   : ________________


JDS-Software                                   Fax.: +49-4451-959196
Jens Driese                                    CIS : 100273,2252
Steganos Service                               CIS : GO "JDSONLINE"
P.O. Box 1269                                  http://www.jds-software.com
D-26302 Varel
Germany





Order:

Qty   Product                                        Qty.-Price       Total
___________________________________________________________________________

____ Steganos 95/NT4.0 ( 1 lic. private user)        49,00 DM* =   _____ DM
____ Steganos 95/NT4.0 ( 1 lic. commercial user)     79,00 DM* =   _____ DM
____ Steganos 95/NT4.0 ( 2 lic. commercial users)   110,00 DM* =   _____ DM
____ Steganos 95/NT4.0 ( 5 lic. commercial users)   235,00 DM* =   _____ DM
____ Steganos 95/NT4.0 (10 lic. commercial users)   430,00 DM* =   _____ DM
____ Steganos 95/NT4.0 (25 lic. commercial users)   890,00 DM* =   _____ DM


Shipping and Handling:
 ( ) Shipping and handling overseas                  15,00 DM* =   _____ DM

 * Note: The currency of the invoice is going to be Deutschmarks (DM).
   US$1 is worth approx. 1,80 DM (October 1997).


Total                                                          =   _____ DM

Billing method:

 ( ) Cash 
 ( ) Credit card

  Card number :_________________________________ Exp.-Date:_______________

  Card owner  :___________________________________________________________

  Card        : ( ) VISA  ( ) DINERS  ( ) EURO  ( ) MASTER-CARD  ( ) AMEX


________________________________
Signature