ORDER FORM - WS50
 ================================================================
  Order for "Eric's WSOCK32.DLL"


  I want to order Eric's WSOCK32 for WIN95(R)

  Name:    ______________________________________________________

  Company: ______________________________________________________

  Address: ______________________________________________________

  State:   _______________________  Country: ____________________

  Phone:   _______________________      FAX: ____________________

  E-mail:  ______________________________________________________



  [ ] license(s), each      US$ 20.00  /  30,- DM (Deutsche Mark)
                                       /  German Currency when 
                                       /  paying with plastic
                                       /  or Eurocheque


  I will receive the registration key(s) by email.




  [ ] I will pay with my credit card:

      TOTAL in DM (Deutsche Mark): __________

      ( ) Mastercard            ( ) Eurocard             ( ) VISA

      Card #_________________________________ Exp. Date:_________
 
      The name as it appears on the card: _______________________

      The signature of its owner authorizing us
      to debit it for the amount indicated above: 


      ________    ________________________________
      Date        Signature of Cardholder





  [ ] I will send Money/Cheque by mail.

      Cheques accepted:

      1. Cheques drawn on an international bank having the
         address of a North American clearing office and a
         bank transit number printed on it. These Cheques
         must be in US dollars - no other currency can be
         accepted.

      2. Eurocheques.
         These Cheques must be in DM (Deutsche Mark).
         The Cheque's card number must be on its back.
         Otherwise these Cheques can not be accepted.


 =================================================================
 Send this form to:       FRIEDRICH EDV SERVICE,
                          An den Dreissigruten 51,
                          D 64572 Buettelborn, Germany
 
                          FAX:    +49-6152-2255
                          email:  friedv@aol.com