Registration -- Please fill in this form and mail it to:

Sigo Automatisering
Roerdomppad 14
6921 VP  Duiven
The Netherlands
Fax: +31 316 282454


All prices are valid until 1 July 1997. All prices are US dollars.
All prices are including VAT, and distribution cost.

I order:

RT Customiser for Delphi single user license    $  279.- or Fl 525.-

TOTAL AMOUNT                                    $  279.- or Fl 525.-


(Registration name - check off below - appears in the About dialog)

[ _ ] Name       ___________________________________________________

[ _ ] Company    ___________________________________________________

Address          ___________________________________________________

ZIP/Post Code    ____________   City _______________________________

State/Country    ___________________________________________________

Phone/FAX        _______________________  /  _______________________

E-mail address   ___________________________________________________

Payment          [ _ ] Visa   [ _ ] American Express

           -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Card nr.  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
           -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --

Card expiry date ___________


Send RT Customiser as  [ _ ] E-mail   [ _ ] a 3.5" floppy disk


Date _____________   Signature _____________________________________




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