
86TO68 Order Form

To
Nicolay Mausz
Brauweilerhof
56820 Mesenich
Germany

Please send me the latest version of 80x86 to 68000
sourcecode-converter with the C-source-code.

Payment is enclosed:   O US $ 35               
                       O check about US $35

Preferred disk format:       O 3,5 "
                             O 5,25 "
                             O e-mail (Internet) to __________
Preferred language:          O German
                             O English
My Address is:
Name, first name: ________________________________________________
Street:  _________________________________________________________
City/State/Zip: __________________________________________________
Country: _________________________________________________________
e-mail: __________________________________________________________
Where you get this shareware-version ?: _________________


____________________________
Date, Signature





