Please e-mail this to Stefan Cordes
  Compuserve: 100331,3700
  Internet: 100331.3700@compuserve.com
         or scordes@usa.net

OR 

Mail to
Albert und Stefan Cordes GbR
Am Kockshof 24
40882 Ratingen
Tel.: +49/(0)2102/895 816
Fax.: +49/(0)2102/895 816 (15:00-19:00 MEZ)
Germany

OR

Register via CompuServe: GO SWREG, Registration ID: 4528

OR

Register in WWW:
http://ourworld.compuserve.com/homepages/Cordes/

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Registration form:  CHOICE 4.15 (Windows) (newest Version)

I want to pay:  US Dollar ($)

Please change following table, if you want another amount 
or shipping method.

Amount  What                   one piece   total
  1     CHOICE (Windows)         $ 15       $ 15
  1     Shipping (mark with X)
          (X) e-mail             $  1       $  1
          ( ) 3 1/2" disk        $  5       $  5
          ( ) 5 1/4" disk        $ 10       $ 10
                                         -------
                      Total:                $ 16

If you order a disk you will get the actual sharewareversion and
a key to register that version.
If you have an aktual version or got it from the internet 
(http://ourworld.compuserve.com/homepages/Cordes/) then
you will not need a disk.

Personal Data (must fill out):

Name:
Adress:
City:
Country:
Tel:
Fax:
E-Mail:

Statistic Data (you are free to NOT fill out):
Operating System:
Age:
Fashion:
Source of supply:


Pay method: (please mark with X)
==========
( ) I pay with Credit Card:

     Card: ( ) VISA / ( ) Mastercard / ( ) American Express 
           ( ) Diners ( ) Eurocard
     Name on card:
     Card Number:
     Valid until:

( ) I transfer the money to your BANK:
        Stefan Cordes
        Sparkasse Ratingen (BLZ 301 516 60)
        Account: 33 46 56

( ) I pay with "Bankeinzug" (german accounts ONLY)
        Kontoinhaber:
        Kontonummer:
        Bankleitzahl:
        Name der Bank:

( ) I want to pay later, send me an invoice, please.

Update service: (included with registration)
If new versions of choice are developed the next 2 years I will get an
e-mail and can order the new version for FREE via e-mail. 


Date, Your sign:

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