Order/Registration Form


To:

	Dr. Gottfried Siehs
	Tiergartenstrasse 99
	A-6020 Innsbruck
	Austria / Europe



I / We want to register the following program(s)

Name: _________________________________________________________

Company: ______________________________________________________

Address: ______________________________________________________

Town/City: ____________________________________________________

Country: ______________________________________________________

Post Code: ______________

Phone: __________________  FAX: ______________________

E-mail: ______________________________________________




User name string for registration (max. 80 characters)
  
_______________________________________________________________


Number of copies to register:
                             HD95COPY 2.6    FAT32CP 1.6    HD95Protect 1.1

   ... single license(s)    --------------  --------------  ---------------

   ... network license(s)   --------------  --------------  ---------------

   ... site license(s)      --------------  --------------  ---------------

Total payment   : _________________________________________________________
(For prices please have a look at HD95CP_E.TXT, F32CP_E.TXT and HD95PR_D.TXT)

via
( ) cheque
( ) sending cash (should only be sent by registered post)
( ) bank transfer to
        Oesterreichische Postsparkasse, BLZ 60000
	Kto-Nr 7786.901
	(Dr. Gottfried Siehs)


Just for my information: Where do you know the programs from?

   ..........................................................


Thank you for registering!