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:
Payment:                          SFr  |
                                  Aus$ |     |     |     | DKr |     |
                                  Can$ |     | IR£ | FMk | NKr |     |
                                   DM  | US$ | GB£ | FFr | SKr | HFl |  LIT
  For EGS-Applications package consisting of
   EGSPhotoAlbum Pro&EGS-TV Pro:O  70  |  50 |  35 | 250 | 350 |  80 | 80000

  in addition for ImageFXMod.:  O  10  |   7 |   5 |  40 |  50 |  10 | 10000
  in addition for XiPaintMod.:  O  10  |   7 |   5 |  40 |  50 |  10 | 10000
  in addition for UniversalGIO: O  10  |   7 |   5 |  40 |  50 |  10 | 10000
  (add-on prices only valid if ordered together with the package)

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

  O I included banknotes
  O I included a cheque (in europe please use EC-cheques in DM if possible)


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: