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

              Registration form:

         Name: ______________________________________________

      Address: ___________________________________  _________

 Code/Country: ______________________________________________
               ______________________________________________

Telephone/Fax: _____________________ ________________________
       e-mail: __________________________ Year of Birth: ____

some voluntary statements

Computersystem(s):   _________________________ with __ MB RAM.
Operating system(s): _________________________

Equipment:      [ ] Monochromemonitor  [ ] Farbmonitor
                [ ] Festplatte         [ ] Drucker
                [ ] Modem              [ ] PC-Emulator
                [ ] _________________  [ ] _______________

Disc:           [ ] 720 KB (DD)        [ ] 1.44 MB (HD)
Language:       [ ] German             [ ] English
                        
I want to order/register:
================================================================
  Program                                     Number    Price

  ____________________________________        __        __.00
  ____________________________________        __        __.00
  ____________________________________        __        __.00
  ____________________________________        __        __.00
  
                                          Total:        __.00
================================================================

I want to pay by
[ ] cash: DM ____.__- included.

[ ] I have transfered DM ____.__- (date: __.__.____ )
    to             Name: Linkweiler, Ingo
            Account Nr.: 134 944 O15
            Institution: Volksbank Datteln-Oer
          Bank Nr (BLZ): 426 616 O5

ideas and notes:



Signature: _________________________________ 
