********* NETLOCK95//NT  REGISTRATION FORM *************

I will try to send you a registered version within 48 hour's.

Please use this form to order your registered version of NETLOCK/NT, and
send it to the following address:


    Software Development
    Johann Weinzierl  
    Eichstaett 29
    84098 Hohenthann
    Germany

   Please send me:
   ---------------

    _____  copies  of NETLOCK/NT licences  each for DM 150  =  total  _________
						   (or $100)            
	   Shipping is included in the price.


   
   1, The licence(s) should go to:
   ===============================

   Name: ___________________________________________

   Company: ________________________________________

   Street: _________________________________________

   Town:  __________________________________________

   Tel:   __________________________________________

   Fax:   __________________________________________

   email adress:
   (if exist)    ___________________________________

   Compuserve  :
   (if exist)    ___________________________________

   FIDO        :
   (if exist)    ___________________________________

 
  2, Form of payment:
  ===================
   I have included the registration fee in form of:

   __ cash       (preferred, grins :-) 

   __ a check
   
   __ have transferred to the following bank:

	  RAIFFEISENKASSE HOHENTHANN
	  84098 HOHENTHANN
	  JOHANN WEINZIERL
	  BANKLEITZAHL: 743 676 92
	  KONTONR:      05 3389 0
	  

   __ Registration via Compuserve : GO SWREG,  NAME: NETLOC95  


   __ Credit Card: (MASTER and EURO Card only)

      Card holder   _________________________________________
      (Name excactly as it appears on the card)

      Card Nr.      _________________________________________

      Expiration Date  __/__

      Signature (only needed on fax)  ________________________


3, Date and Sign:
================


Date: ________________                 Sign:____________________