

     To
     Waldemar Zhner
     Coburger Strae 69
     91056 Erlangen
     Germany



     I want to become a registered user of "ScanTek".
     My address is:

     Name:     ________________________________________________________

     Address:  ________________________________________________________

               ________________________________________________________

               ________________________________________________________

     Country:  ____________________________

     EMail:    ________________________________________________________

     Computer: ________________________________________________________

               ________________________________________________________

     SCSI:     ________________________________________________________

     Scanner:  ________________________________________________________




     I am sending the shareware fee as US$ 30 in cash, included with
     this letter.


     Please send me the keyfile (please mark as appropriate)

           o  to my EMail address
           o  on disk to my postal adress


     I have read the section "Copyrights" in the manual and agree with
     the conditions. Specifically, with my signature, I commit on
     installing the keyfile only on one computer and not giving it
     to others.



     _____________________  ___________________________________________
            (Date)                          (Signature)
