SOFTWARE ORDER FORM
========================================================================
TO:

RUNTIME SOFTWARE LLC
1601 Fairview Dr., Suite H
Carson City, NV 89701, USA

Phone:  +1-775-884 3922        (USA)
Fax:    +1-775-844 3966        (USA)
	+1-818-475 1741        (USA)
        +49-30-69 088 444      (Germany)
        

Email:  softi@compuserve.com
Web:    http://www.runtime.org
________________________________________________________________________
FROM:

Company:_________________________________________________________

Name:____________________________________________________________

Address:_________________________________________________________

City/State/Province:_____________________________________________

Country/Postal Code:_____________________________________________

Phone:_____________________________________

Fax:_______________________________________

Email:_____________________________________

Internet:__________________________________
________________________________________________________________________


I ORDER ONE LICENSE OF CAPTAIN NEMO FOR A PRICE OF 90 US$.
-----------------------------------------------------------


I PAY BY
--------
[ ] Credit card

    Visa ___ Mastercard ___ Amex ___ (check one)

    Expiration Date:__________

    Card Number:_____________________________________________________

    Name on the card:________________________________________________

    Address of card holder:__________________________________________
    (if different address
    above)           ________________________________________________

    I HEREBY AGREE TO PAY THE AMOUNT SPECIFIED ABOVE.

[ ] Check (must be written in US, German or Euro currency).

    I CONFIRM THAT I WILL SEND OUT THE CHECK WITHIN 3 DAYS.

[ ] Cash

    I CONFIRM THAT I WILL SEND OUT THE FUNDS WITHIN 3 DAYS.

[ ] Bank transfer to:

    	Runtime Software LLC	
	US Bank
	Account # 1537 900 80 680
	SWIFT USBKUS44IMT
	ABA 121201694	

    I CONFIRM THAT I WILL WIRE THE FUNDS WITHIN 3 DAYS.

PLEASE SEND ME THE LICENSE KEY BY
---------------------------------
[ ] Fax
[ ] Phone
[ ] Email
[ ] Snail Mail


WHERE DID YOU FIRST HEAR ABOUT CAPTAIN NEMO?
--------------------------------------------
[ ] Friends or colleagues
[ ] Internet (where? _______________)
[ ] Print media (Title: ___________________)
[ ] Other: ____________________


PLEASE SIGN HERE
----------------
Signature:_______________________________________________________
