Please fill, print, sign and fax (or send) this form
 Please do not forget to supply your Palm username (case sensitive)
 Please do not forget to supply your e-mail address

Ole Jungclaussen
Lychener Strasse 74 Fax: +49 30 44 73 66 93
10437 Berlin Tel: +49 30 44 46 56 9
Germany E-Mail:

Street Address:
City, State:
Phone: Fax:
Your Palm Username is absolutely necessary for registration. (case sensitive):
Palm Username:

I order: 1 xxxx2Eudora regular, Language English DM 20.00 (approx. US $10.00)¹
(For European community customers this includes 16% VAT.)

Credit Card Information¹
Type: Visa Mastercard/Eurocard Diners
Date: Signature:__________________________________

Please help improving my service by answering the following question:
How did you get your copy of xxxx2Eudora?
PalmGearHQ (
Another server ________________________________
from another person

Please fill, print, sign and fax (or send) this form to me
After I have verified your credit card information, I will send the registered version via e-mail (about 110kb) directly to you. This might take some days, so please excuse the delay.
 Please do not send cheques - the banks in Germany charge $30 for cashing!
 Credit card payment is easiest to handle¹.
If you like you may send cash by snail-mail (enclosed in a folded sheet so that nobody can see it). And please DO tell me in an email, that you did, so that I can check for it...

¹ I am awfully sorry, but I can charge credit cards only in German currency (Deutsche Mark) This might lead to a small deviation from the price shown above (e.g. 20 DM at 2.01 DM per US$ will lead to $9.94 being charged). Changing exchange rates may slightly change the amount between the time I charge the credit card company and the time that company charges you.
Sorry, I cannot accept other credit cards