To:
  Staffan Palmroos
  Rydsvagen 250 C:17
  584 34 Linkoping
  SWEDEN

Please send me my keyfile for Atlantis to:

      Name:__________________________________________________________
    Street:__________________________________________________________
Zip & City:_______________________________    Country:_______________
     Email:_______________________________  Telephone:_______________

I pay my shareware fee with: (please mark as appropriate)

              o  SEK 160,-                  o  UKP 15,-

              o  FIM 120,-                  o  DM  30,-

              o  USD  20,-

... in bills, coming with this letter.

I got this program from: (please state one)

         o AmiNET                       o AmiNET CD-Roms

         o Local PD dealer              o Magazine coverdisk

         o Other ______________________

Please be more specific: (What CD-Rom/Dealer/Mag/Other ?)
  _________________________________________________________________
  _________________________________________________________________

My equipment and OS version:
  _________________________________________________________________
  _________________________________________________________________

Comments and suggestions:
  _________________________________________________________________
  _________________________________________________________________
  _________________________________________________________________


I have read the docs and agree with the terms stated there


___________________   _______________________________________________
     (Date)                             (Signature)


Staffan Palmroos' notes:

Kom ___________  Bet ___________   Lev ___________  Snr _____________