                       CFM Twain 4.0 ORDER FORM

         The 32 Bit Twain Scanner driver for Windows 95

Name     ____________________________________________________________

Address  ____________________________________________________________

         ____________________________________________________________

City     _____________________ State ___________ Zip ________________

Country  _____________________

Phone    _____________________

Fax      _____________________    CompuServe ID      ________________

                                      Copies                 Total
CFM Twain 4.0 Driver for HPiiCX        _____ @ $149.00 = $ __________
CFM Twain 4.0 Driver for MFS6000       _____ @ $ 99.00 = $ __________
CFM Twain 4.0 Driver for MFS12000      _____ @ $ 99.00 = $ __________
CFM Twain 4.0 Driver for IX4015        _____ @ $149.00 = $ __________
CFM Twain 4.0 Driver for COOLSCAN      _____ @ $249.00 = $ __________
CFM Twain 4.0 Driver for FUJITSU SP 10 _____ @ $149.00 = $ __________
CFM Twain 4.0 Driver for FUJITSU SP EO _____ @ $ 99.00 = $ __________
CFM Twain 4.0 Driver for RELI 2412     _____ @ $ 99.00 = $ __________
CFM Twain 4.0 Driver for RELI 4816     _____ @ $ 99.00 = $ __________
CFM Twain 4.0 Driver for RELI 9624     _____ @ $ 99.00 = $ __________

Dispatch expenses                                        $      16.00
---------------------------------------------------------------------
                                                Total    $ __________


( ) Check/Money Order - Payable in US Dollars only and made payable
    to CFM Computer fuer Menschen GmbH.

( ) Mastercard  ( ) American Express

Card Number _________________________________________________________

Name as it appears on card __________________________________________


Expiration Date _______________ Signature ___________________________

I am intrested in
other scanner drivers : _____________________________________________

Mail Orders:

CFM Computer fuer Menschen GmbH
Wittener Str. 142

D-58456 Witten (Germany)

Voice Orders     : +49 2302 970300
Fax Orders       : +49 2302 9703030
BBS (Info/Demos) : +49 2302 9703055
CompuServe ID    : 100143,441     
