


    _________________________________________ (Company)

    _________________________________________ (Name, Department)

    _________________________________________ (Address)

    _________________________________________ (State, Country)

    _________________________________________ (Phone, Fax)

    _________________________________________ (eMail) 


    Fax:    +49 (821) 514831
    email:  ait-augsburg@t-online.de


    AIT GmbH
    Alte Gasse 12
    86152 Augsburg
    Germany



    R E G I S T R A T I O N

    I herewith order:

    ___ licence(s) of MLRSP 3.0:

        Please deliver   [ ] by eMail
                         [ ] by Mail (3,5" disk)


        Price .......................... US-$ 200,00


        Total .......................... US-$ ______________


    Payment by Mastercard/Eurocard:



    Credit Card # __________________________________________


    Card-Holder   __________________________________________
 


    Expiration Date ____________  Signature ________________


    Date of Signature ________________