Order Form - Exit for Windows V1.0 ================================== Name/Contact____________________________________________________ Company_________________________________________________________ Street__________________________________________________________ City_____________________________________ State______________ Country_________________________ ZIP_________________________ Telephone ______________________ Fax _______________________ ================================================================ Registration SFr 10.- ($7 US) x ____ = SFr ________ ---------------------------------------------------------------- Total: SFr ________ VISA #: __________________________________ Exp. Date: ______ (Will be charged in swiss francs) Name On Card (exactly): ________________________________________ Signature: _____________________________________________________ PLEASE NOTE: We only accept VISA. Not Master Card, American Express, or Discover. We also do not accept unsolicited POs or overseas checks. Please do not send such orders as we will not be able to process them. ================================================================ To place the registration mail this form to: RB-Soft AG Weiherhofstrasse 74 CH-4054 Basel Switzerland