XiPaintModule Registration Form
===============================

Yes, I want to register for HHsFastUniversalXiPaintModule to get the
full version and agree with the disclaimer, copyright and distribution
conditions stated in the documentation.

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:

Please note: Order this module at a much cheaper price together
  with my new picture management program PhotoAlbum or CyberShow Pro
Hinweis: Bestellen Sie dieses Modul zu einem viel niedrigeren Preis
  zusammen mit der neuen Bildverwaltung PhotoAlbum oder CyberShow Pro
 -> Aminet: gfx/misc/photoalbum##.lha  gfx/board/cybershow##.lha

O I am already registered user of PhotoAlbum or CyberShow (Reg.#____)
  and now want to get the fast modules together with the latest
  versions of the other programs as update and include

  Worldwide: (cheque, postal money order or banknotes)
  O 14US$     O 20Aus$    O 20Can$    O 20DM

  in europe: O 15DM (banknotes or cheque)
  O 20HFl  O 20SFr    O 100ÖS  O 350bfrs  O 350Lfrs  O 50FMk  O 60 FFr
  O 7GB£   O 20000Lit O 70NKr  O 70SKr    O 70DKr    O 1400Pes

O I just want to register for the fast modules and include

  Worldwide: (cheque, postal money order or banknotes)
  O 18US$     O 25Aus$    O 25Can$    O 25DM

  in europe: O 20DM (banknotes or cheque)
  O 25HFl  O 20SFr    O 150ÖS  O 450bfrs  O 450Lfrs  O 70FMk  O 80 FFr
  O 10GB£  O 25000Lit O 100NKr O 100SKr   O 100DKr   O 2000Pes


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 demo version 5.3 which I got from
O AmiNet      O a PD disk _________    O a CD-ROM __________   O a friend
O from a BBS/Mailbox ______________      O ______________________________.

Hardware configuration:
Amiga/Draco:____ CPU: 680__ ___MHz  ChipMem: ___MByte  FastMem: ___MByte
Graphic board: _____________________  Framegrabber: _________________
Motion video board: ________________  Scanner: ______________________
Software configuration: OS:__.__  O XiPaint: __.__