Please do not send cheques - the banks in germany charge $20 for cashing!
        Credit card payment is easiest to handle. I
	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
	E-Mail: wfahl@tzl.de
	

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

      	Name:           ________________________________________________

	Street Address: ________________________________________________

	City (,State):  ________________________________________________
   
   	Country:        ________________________________________________

      	Phone:          _____________________   Fax: ___________________

      	E-Mail: 	___________________________________

	The Username is necessary for registration. You can find it out by tapping
	Menu/Options/Registration within Birthdate for 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
        
	For Diners and Visa credit cards the amount will be charged as Deutsche Mark. 
	This might lead to a small deviation from the price shown above (e.g. 30 DM 
	at 1.55 DM per US$ will lead to $19.36 being charged)