                                             Date: __.__.____
InLi-Software
Ingo Linkweiler
Marktstr. 48
D-45711 Datteln
Deutschland

             Ordering + Registration form:

         Name: _______________________________________

      Address: ____________________________  _________

    Code/City: _______________________________________

Telephone/fax: _______________________________________

Computersystem(s): _________________________ with __ MByte RAM.

Operating-sys(s): _________________________

Floppy:         [ ] 720 KB DD          [ ] 1.44 MB DD

Equipment:      [ ] Monochromemonitor  [ ] Colormonitor
                [ ] Harddisc           [ ] Printer
                [ ] Modem              [ ] PC-Emulator
                [ ] _________________  [ ] _______________
                        
I want to register/order:
================================================================

  Product                                     Quantity  Price

  ____________________________________        __        __.00
  ____________________________________        __        __.00
  ____________________________________        __        __.00
  ____________________________________        __        __.00
  ____________________________________        __        __.00

                                          Total:        __.00

================================================================

I want to pay by:

[ ] cash:   DM ____.__- included.

[ ] remittance: I have send DM ____.__- (Date __.__.____)
    to account:       
                               name: Linkweiler, Ingo
                         account #.: 134 944 O15
                        institution: Volksbank Datteln/Oer
                        bank code #: 426 616 O5

statements:



Signature: _________________________________

