===========================================================================
 **********************  IDEFIX REGISTRATION FORM  *************************
 ===========================================================================


  O  YES, I think that Idefix is quite useful and well worth its shareware
	 fee. I therefore want to support it by becoming a registered user.

  O  NO, I don't like Idefix enough to register, because:

	 __________________________________________________________________



  ===================== Personal data (obligatory) ========================

  Name:    ________________________________________________________________

  Address: ________________________________________________________________

	   ________________________________________________________________

	   ________________________________________________________________

  Country: ________________________________________________________________

  FidoNet address: ________________________  AmigaNet: ____________________

  Or other email address: _________________________________________________


  ====================	System configuration (optional) ===================

  Amiga model: _____________________  CPU: ___________ Clock MHz: _________

  Hard disk controller: ____________________________________  O SCSI   O AT

  Operating system version - Kickstart: ___________  Workbench: ___________

  Expansion boards: _______________________________________________________

		    _______________________________________________________

		    _______________________________________________________


  ====================	Payment  ==========================================

  I will pay the shareware fee of DM 20 or US$ 15

   O  by the enclosed bank cheque (please ONLY Eurocheques in DM
      or cheques of a German bank)

   O  by a transfer to your account no. 57515704 at Postbank Stuttgart
      (BLZ 600 100 70), marked as "Idefix registration"

   O  by enclosing the amount in cash (at the sender's risk!)


  ========================================================================

  NOTE: You will receive a receipt via routed netmail. If you do not get
	a receipt within six weeks, be sure to let me know!