Order Form for agSI Version 1.1.2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (please fill in / check:) prices each prices total ___ x Licence for agSI DM 20,- / $ 15 * -> __ _____ (you will recieve a registration code) ^ currency ___ x 3 1/2" Disk with latest version DM 5,- / $ 4 * -> __ _____ default English; [ ] also German, [ ] only German [ ] I want 5 1/4 " disk(s) outside Europe additionally 1x DM 8,- / $ 6 -> __ _____ * For discounts on quantity orders, see README or online help! Payment/Shipping: ( ) pre-paid (cash / cheque) -- -- ( ) C.O.D. (only inside Germany!) DM 5,- -> __ _____ (No credit card orders) ============= Total: ------------------------------------------------> __ _____ [ ] Please inform me about "major" upgrades... [ ] via e-mail [ ] via letter I got agSI from... __________________________________________________ Comments: ___________________________________________________________ ____________________________________________________________ Name: ____________________________________________________________ (Please state if you want a different name used for the reg' entry.) Company: ____________________________________________________________ Address: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ E-Mail: ____________________________________________________________ (accessible from the Internet) Date: __________________ Signature: _______________________________ Mail to: Andreas Groegel or (C.O.D. delivery) via Gildenstr. 4 e-mail (Internet) to: D-74074 Heilbronn ag@studbox.uni-stuttgart.de Germany