ScanTrax Registration Form
                  --------------------------


I would like to become a registered user.
I have read the chapters "Registration" and "Copyright"
in the manual and accept these.



   Name:              ___________________________________


   Street:            ___________________________________


   Town:              ___________________________________


   ZIP (postal) code: _____________


   Country:           ___________________________________


   E-mail:            ___________________________________





                            _____________________
                                 (sign here)



My hardware:


   Scanner:           __________________


   Amiga:             __________________


   CPU:               __________________


   Graphic card:      __________________




Put into an envelope this registration form and
20 US-Dollar or 30 Deutsche-Mark.

Post your registration form to:

   Klaus Krause
   Bergstedter Chaussee 233
   D-22395 Hamburg
   -GERMANY-