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

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

Customer
Name:
Street Address:
City, State:
Country:
Phone:		Fax:
E-mail:
Your Palm Username is absolutely necessary for registration. (case sensitive):
Palm Username:
Product
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
Number:
Expiration:
	Date:	Signature:__________________________________
Information
Please help improving my service by answering the following question:
How did you get your copy of xxxx2Eudora?
http://www.jungclaussen.com PalmGearHQ (http://www.palmgear.com) 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