   ORDER FORM
   

   TSpinDblEdit/TDBSpinDblEdit    
   TSpinDateEdit/TDBSpinDateEdit 


   Name:   _______________________

   Address:_______________________

           _______________________

           _______________________

           _______________________



   Product:

   ____  16&32 Bit TSpinDateEdit\TDBSpinDateEdit        $15 US DOLLARS
   ____  16&32 Bit TSpinDateEdit\TDBSpinDateEdit Source $30 US DOLLARS
   ____  16&32 Bit TSpinDblEdit\TDBSpinDblEdit          $15 US DOLLARS
   ____  16&32 Bit TSpinDblEdit\TDBSpinDblEdit   Source $30 US DOLLARS


                 Check or money order only.
		 PLEASE MAKE PAYABLE TO "W. BRAUN".

   Shipping:

           ____  3.5" Floppy Disk ( Add $2 postage Germany, other $3) 

           ____  eMail : ____________________________


   Mail Address :
      W. Braun
      Bruehlstr. 40
      67069 Ludwigshafen
      Germany
