EGS Applications Registration Form
==================================

Yes, I want to register for EGS applications and evtl. additional
products to get the full versions and agree with the disclaimer,
copyright and distribution conditions stated in the documentations.

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

   Helmut Hoffmann			Name:

   Rubensstrasse 4			Street:

   D-41063 Moenchengladbach		ZIP-Code/City:

					State:

   Germany				Country:
					EMail:
					Phone:
                                  SFr  |
Payment:                          Aus$ |       |     |     |     |
                                  Can$ |       |     |     |     | NKr
                                   DM  |  EUR  | US$ | GB£ | DKr | SKr
  For EGS-Applications package consisting of
   EGSPhotoAlbum and EGS-TV Pro: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 if ordered together with the EGS appl. package)

  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


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

System configuration:

Amiga: ____  CPU: 680__ ___MHz  ChipMem: ___MByte  FastMem: ___MByte
Harddrive(s): ____ MByte        Graphic board: _____________________
Framegrabber: _________________ Scanner: ___________________________
Amiga-OS:__.__ (at least OS2.04) EGS: _._ (at least EGS6.0 needed!!)
For VLabs: vlab.library: _._ (>=6.0) For IV24: fye.library: __.__
Painting and image processing programs: