Send to: Tobias Lenz				Date: _______________
	 Geitnerweg 21K
	 D 12209 Berlin, GERMANY


Product list (check items):		price in US dollar  /	DM

 [ ]  Pairs PC (3.5" disk)			$15.00		20,-

Form of shipping (check only one!):

 [ ]  as ZIP archive via email			free		free
      (You MUST have an email account!)

 [ ]  on disk via mail				$2.00		2,-
					       ----------------------
				Order total:
					       ======================
						(money included - cash)


Your Name: _________________________________

Your mailing address:	_____________________________________

			_____________________________________

			_____________________________________

Email: _____________________________________



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						(sign here)

Further informations (optional):

Your processor:  [ ] 486DX ___ MHz	[ ] pentium ___ MHz

		 [ ] other: __________________

Your OS:  [ ] Windows/MSDOS	[ ] Win95	[ ] other: ______________

Memory:  ____ MB		CD-ROM drive:  [ ] No	[ ] Yes __x speed