    AdLab Order Form

    DATE :    _____________________________________________________

    NAME:     _____________________________________________________

    COMPANY:  _____________________________________________________

    ADDRESS:  _____________________________________________________

              _____________________________________________________

    CITY:     _____________________________________________________

    COUNTRY:  ________________________  Post/Zip Code:  ___________

    PHONE:    _____________________________________________________

    E-MAIL ADDRESS:  ______________________________________________

    WHERE DID YOU HEAR OF ADLAB   _________________________________

    _______________________________________________________________

    COMMENTS:  ____________________________________________________

    _______________________________________________________________


    Registration 21.00 or $35 or DM60                    _________
 

    If you want to register AdLab via PSL or REGNET service:

    Extra charge 3 or $5 or DM8                          _________

    For PSL registration you can order :

    Program ID is #94386302338

    by Fax :    713-524-6398 (product number is #94386302338)
    by Email :  @pslweb.com
    by WWW :    http://www.pslweb.com or (new) http://www.digibuy.com
    by Mail :   credit card orders to PSL, P.O.Box 35705, Houston, 
                TX 77235-5705
 
    For REGNET (http://www.reg.net) registration you can order :

    Program ID is 5962

    by Phone :  1 800 WWW2REG (1 800 999-2734) or (661) 288-1827   
    by Fax :    1 (661) 288-1867 
    by WWW :    http://www.reg.net/product.asp?ID=5962
                
                                                TOTAL:    _________

    (Payments MUST be in Pounds Sterling, US Dollars or D-Mark.
    Other payments like UNSCO coupons, etc. cannot be accepted!)

    EEC (EU) residents may pay by Eurocheque in DM (no shipping).
    Please enclose a check payable to Stephan Weber, Therese-
    Giehse-Allee 23, 81739 Munich, Germany

    You can also pay by remittance or by sending cash money. If 
    you have further questions or suggestions on the program 
    functionality, please write an e-mail or send a fax to 
    0049-89-6375077.

