Shareware Registration Form
===========================

I want to register for the below selected Shareware products to get the full
versions 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:101.72723@germanynet.de        Fax:             Phone:
                                        EMail:
                                  SFr  |
Payment:                          Aus$ |       |     |     |     |
                                  Can$ |       |     |     |     | NKr
                                   DM  |  EUR  | US$ | GB£ | DKr | SKr
  Complete package of PhotoAlbum
    and CyberShow Professional: O  50  | 25,56 |  30 |  20 | 200 | 250

  Sidegrade price to complete package if you are already registered for
    PhotoAlbum or CyberShow:    O  30  | 15,34 |  20 |  15 | 150 | 200

  in addition for ImageFXMod.:  O  10  |  5,11 |   5 |   5 |  50 |  50
  in addition for XiPaintMod.:  O  10  |  5,11 |   5 |   5 |  50 |  50
  in addition for UniversalGIO: O  10  |  5,11 |   5 |   5 |  50 |  50
  (add-on prices only valid in conjunction with complete package order!)

  Total price:                  _____

  O Order and delivery by E-mail (payment only by bank transfer!):

    I payed the amount plus an additional 2,44EUR (4,77DM or 2,50US$)
    (for possible bank transfer fees subtracted by receiving banks)
    by international bank transfer at __.__.____ on your postal account
     number 550275438 at Postbank Essen, Germany (Bank code 36010043)

  O Order by postal service (delivery by _ postal or _ E-mail prefered?)

    O I included banknotes or a cheque (e.g. EuroCheque or bank order cheque)
      (for cheques from european countries EUR or DM are the prefered currencies)
    O I payed with international postal money order cheque
    O I payed the amount plus an additional 2,44EUR (4,77DM or 2,50US$)
      (for possible bank transfer fees subtracted by receiving banks)
      by international bank transfer at __.__.____ on your postal account
       number 550275438 at Postbank Essen, Germany (Bank code 36010043)


Location/Date:__________________    Signature:________________________

This form was taken from CyberShow demo version 9.4a which was from _________

System configuration: Amiga:_____   or Draco:_____
  CPU: 680__ with ___MHz            ChipMem: ___MByte  FastMem: ___MByte
  Graphic board: ________________   Framegrabber: _________________________
  Motion video board: ___________   Scanner: ______________________________
Amiga-OS: __.__   CyberGraphX: ____ (optional)  Picasso 96: ____ (optional)
Painting and Image Processing programs: