    Print out this form and send it filled out to the following address:

                            Kai Seidel
                            Traunsteiner Str. 19
                            83355 Grabenstaett
                            GERMANY

----- 8< ---------------------------------------------------------------------



                       Text-Wandler V3.9 Registration Form
                       -----------------------------------


   Name:  ___________________________           Date: _______________________

   Mailing Address: _________________________________________________________

              City: ____________________________ State: ____  Zip:___________

           Country: ____________________________

             Phone: +____-(__)___________-____________

             EMail:  ________________________________________________________

                     ________________________________________________________

                     ________________________________________________________


       Computerconfiguration (type, equipment, accessories etc.):

                    ________________________________________________________

                    ________________________________________________________

                    ________________________________________________________


   Where did you receive this program: _____________________________________


                                                      German DM    US$
   I would like to get:

      X    a registered version of Text-Wandler.........15.00     10.00

      o    I'm sending a disk with this registration
           form for copying the registered version
           to it........................................--.--     --.--

      o    I'm not sending a disk. I'll pay for it.......1.00      1.00

      o    I live outside of Germany. To cover the
           additional costs of air mail I add............5.00      5.00

   I am sending...
      o    a EuroCheque.................................--.--     --.--
      o    a wire bank transfer.........................--.--     --.--
      o    cash (German DM or US $ only)................--.--     --.--

                                         p & p           3.00      3.00
                                                     ====================


                       This gives a TOTAL AMOUNT of  ____________________

  Bank-Address :

  Raiffeisenbank Chieming-Grabenstaett eG, Account 230227, Bank-ID 701 691 11

  I have read the copyright and warranty stuff and agree with them.



  _____________________  ____________________________________________
          (Date)                         (Signature)



