PRODUCT REGISTRATION FORM 
BusCd Driver for Windows NT     Name:  _________________________________

                     Company/Address:  _________________________________

                                       _________________________________

                                       _________________________________

                                       _________________________________

                                       _________________________________

               Your Telephone Number:  _________________________________
                                       (include area/country code)

               Your E-Mail Address:    _________________________________


               Disk Media, check one:  [ ] 5.25"  [ ] 3.5" [ ] E-Mail

                        Date Ordered:  Month ________  Day _____  Year ______


Price Calculation   Registration Fee:  DM 30.00 / $20.00
-----------------

               Shipping and Handling:  ___________  DM 10.00 / $10.00
						    free with E-Mail!
                                                  
                          Total Cost:  ___________


Send this form to:

   Bernd Edlinger
   Riesstrasse 67/VI                    CompuServe: 100273,334

   80997 Muenchen
   Germany