    Order from:


      Name/Company :  .................................

            Street :  .................................

    City/State/ZIP :  .................................
      
       Phone / Fax :  .................................
                          




    Firma Ingo Paleit
    EDV-Consulting & Training
    Auenstr. 3, PF 77
    D-99610 Smmerda
    Germany / R.F.A.




    Order for M&I WinEditor
    -----------------------

    I, herewith, place an order to be registered for M&I WinEditor
 
                                                   price/discount

    1. Licence:  Registration Number ____________  DM 49 or US-$ 31

    2. Licence:  Registration Number ____________  DM 39 or US-$ 25

    3. Licence:  Registration Number ____________  DM 39 or US-$ 25

    4. Licence:  Registration Number ____________  DM 39 or US-$ 25

    5. Licence:  Registration Number ____________  DM 29 or US-$ 19

    (price of any further licence:  DM 29 or US-$ 19)


    My current version is __________ . If there is a newer one, 
    please send me the new version.

    I pay by:

    ____  check - only currency DM or US-$!

    ____  account:  + DM 15 or + US-$ 10
          (only applies to authorities and institutions!)


    TOTAL:  DM __________ or US-$ __________ 


    Date:  ____________   Signature: _____________________