Send this registration form to:

Wispro
Eckl, Herrmann, Weindel GbR
Weiherstr. 31
D-76327 Pfinztal
Germany

CompuServe:     106362,2311
Email:          106362,2311@compuserve.com
Fax:            +49 / 721 / 9463122


Qty     Description
-----------------------------------------------------------
___x    Security Manager (English)                 US$_____
(Prices: Qty 1-5 US$ 20.00, Qty 6-10 US$ 15.00, 11- Query!)

(  )    3.5" disk with newest version
        + bill + Shipping and handling             US$_____
(Europe: $5, US and other: $7 NORMAL / $10 AIR MAIL)

Sub-Total                                          US$_____

Tax:                                    15 %       US$_____
(Only German residents and European residents (EU) without tax ID)

Total                                              US$_____


Payment:
        ( ) Visa Card               ( ) Master Card / Euro Card
        ( ) Cheque (only Germany)   ( ) Euro Cheque

        Card #: _______________________   Exp. Date: _________

        Signature: ___________________________________________


Tax ID: _______________________ (Only european residensts)


Ship to/Bill to:

Name: ___________________________  Company: ________________________

Address: ________________________  City: ___________________________

State: _________ Zip: ___________  Country: ________________________

Fax: +___ (_____) _______________  E-Mail: _________________________


