                           TIME95! v1.0 Order form

   To:  Henrik Holdt
        Nyvngen 22
        SE-302 57 Halmstad
        Sweden

   I register ___ license(s) of TIME95!

   I enclose my registration fee of      ___ US Dollars (USD)
    (please choose one)                  ___ Canadian Dollars (CAD)
                                         ___ UK Pounds (GBP)
                                         ___ Deutsche Mark (DEM)
   (You can find the recommended         ___ Svenska Kronor (SEK)
   registration fee in time95!.hlp       ___ Danske Kroner (DKK)
   and time95!.txt.)                     ___ Norske Kroner (NOK)
                                         ___ Finska Mark (FIM)

   I would like to receive TIME95! on    [ ] 5.25" diskette
    (please check one)                   [ ] 3.5"  diskette

   Name          ___________________________________________

   (Company)     ___________________________________________

   Address       ___________________________________________

                 ___________________________________________

                 ___________________________________________

                 ___________________________________________

   Country       ___________________________________________


   Signed: _______________________________ Date: __________________________

   If you could spare the time to fill in the following few details, it would
   help to ensure that future products meet users' needs, and are distributed
   quickly and efficiently.

   I obtained TIME95! from:

     [ ] Internet, address: ____________________

     [ ] Bulletin Board, name and phone: ____________________

     [ ] Distributor, name: ____________________

     [ ] CD-ROM, name: ____________________

     [ ] Another user

   Comments and suggestions (improvements, new features, new programs, etc.):

   ___________________________________________________________________________

   ___________________________________________________________________________
