To
J. Ebnet Software

D 8000 M�nchen
Passauer Stra�e 2

Western Germany



REGISTRATION
PURCCHASE ORDER

- Software utility UniScreen
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Please send me (us) the software utility UniScreen for a charge
of $ 49.--.


I take the folowing payment:

   (  ) cheque payment

   (  ) transfer to the following bank account:
        Raiffeisenbank M�nchen EG
        West Germany
        bank number 70160300
        account number 414522
 
   (  ) cash on deliver
        (  ) in Western Germany         $  3.--
        (  ) from abroad                $  5.--

disc format:
   (  ) 5.25 inch disks
   (  ) 3.5 inch disks                  $  5.--



For a registrated user you will get an information of a new
program release automatically. You can order it in an update 
service for the special price of $ 15.--.

User support is possible for registrated users exclusively.

Sender:  





Date/signature:



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