        Please do not send cheques - the banks in germany charge $20 for cashing!
        Credit card payment is easiest to handle. 
	If you like you may send cash by snail-mail.        

     	To:	
      
	Fahl Software
	Pater-Delp-Str. 1
	47877 Willich-Schiefbahn
	Germany

	Fax: +49 2154 952651
        Fon: +49 2154 952691 (english)
        Fon: +49 2154 952650 (german)
	E-Mail: info@birthdate.com
	

	CUSTOMER:
     	~~~~~~~~~~~~~~~

      	Name:           ________________________________________________

	Street Address: ________________________________________________

	City (,State):  ________________________________________________
   
   	Country:        ________________________________________________

      	Phone:          _____________________   Fax: ___________________

      	E-Mail: 	___________________________________

	The Pilot-Username is necessary for registration. You can find it out by tapping
	Menu/Options/Registration within Birthdate for Pilot.

	Pilot-Username: ___________________________________ 
								

	Products:     (European community customers: add 15% sales tax)
     	~~~~~~~~~
        Birthdate for Pilot - regular  $19.95 [ ]  


	Credit Card Information:
     	~~~~~~~~~~~~~~~~~~~~~~~~

	Type (*):       Diners [ ]  Visa [ ]  Mastercard [ ]

	Number:         ________________________

	Expiration:     __________

	Date: ______________        Signature:__________________________


     	Please help improving our service by answering the following question:

      	How did you get your copy of Birthdate from Pilot?

        [ ] - via ftp/gopher/WWW from server: __________________________
        [ ] - from another person


(*) 	- sorry we do not accept other credit cards
        
        The US$ amount will be charged as DM at the dollar-rate of the day 
	of the credit-card transaction. 	
	This might lead to a small deviation from the price.
