PhotoAlbum Registration Form (Introduction offers upto 30th June 1996!)
============================

I want to register for PhotoAlbum (and evtl. additional software) to get
the full version and agree with the disclaimer, copyright, usage and
distribution conditions stated in the documentation.

I send this form to:                    My address is
--------------------                    -------------

   Helmut Hoffmann                      Name:

   Rubensstrasse 4                      Street:

   D-41063 Moenchengladbach             City:
					State / Zip-Code:
   Germany
                                        Country:
                                        EMail:
Payment:                          Aus$ |     |     |     | DKr |     |
                                  Can$ |     |     |     | NKr |     |
  For PhotoAlbum:                  DM  | US$ | GB£ | FFr | SKr | HFl |  LIT
   Introduction prices upto 30th June 1996 (date of postage):
    for new customers           O  30  |  22 |  15 | 120 | 150 |  35 | 35000
    side-grade group 2 (RNo___) O  25  |  19 |  12 | 100 | 120 |  30 | 30000
    side-grade group 1 (RNo___) O  20  |  16 |  10 |  80 | 100 |  25 | 25000
   Standard prices from 1st July 1996:
    for new customers           O  40  |  30 |  20 | 150 | 200 |  50 | 50000
    side-grade grp.1&2 (RNo___) O  30  |  23 |  15 | 120 | 150 |  35 | 35000
   (see documentaion for group-details about entitlement for Side-Grades)

  For complete package consisting of PhotoAlbum and CyberShow Prof.:
    for new customers           O  50  |  35 |  25 | 180 | 250 |  60 | 60000
    Side-Grade Group 3 (RNo___) O  40  |  30 |  20 | 150 | 200 |  50 | 50000

  in addition for ImageFXMod.:  O  10  |   7 |   5 |  40 |  50 |  10 | 11000
  in addition for XiPaintMod.:  O  10  |   7 |   5 |  40 |  50 |  10 | 11000
  in addition for UniversalGIO: O  10  |   7 |   5 |  40 |  50 |  10 | 11000
  (add-on prices only valid if ordered together with PhotoAlbum or package!)

  Total price:              ___DM,C$,A$ ___US$ __GB£ __FFr ___Kr __HFl _____
                                                                         LIT
  O I included banknotes or a cheque
  O I payed on __.__.____ with international (!) postal money order


Date:____________    Signature:____________________

I am currently using demo version 1.0 which I got from
O CD-ROM "___________"     O AmiNet                     O PD-Disk "________"
O a friend                 O a BBS or Mailbox           O __________________

System configuration: Amiga:_____   or Draco:_____
  CPU: 680__ with ___MHz            ChipMem: ___MByte  FastMem: ___MByte
  Harddrive(s): ____ MByte          Graphic board: ________________________
  Framegrabber: _________________   Motion video board: ___________________
  CD-ROM drive: _________________   Scanner: ______________________________
Amiga-OS: __.__                   CyberGraphX: _________ (optional)

Painting and Image Processing programs:

Comments/Suggestions: