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

RUNTIME SOFTWARE
Crellestr. 6
10827 Berlin, Germany

Phone:  +49-30-280 80 08        (Germany)
Fax:    +49-30-280 80 09        (")
        +49-30-69 088 444       (")
        +1818-475 1741          (USA)

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 85 EURO.
-----------------------------------------------------------
[ ] I am a resident of the European Community (Belgium, Denmark, Germany
    Finland, France, Greece, United Kingdom, Ireland, Italy, Luxembourg,
    Netherlands, Austria, Portugal, Sweden, Spain) and therefore obliged
    to pay 16% VAT.
    My total is 98,60 EURO.

[ ] I am a resident of any other country and do not need to pay VAT.
    My total is 85 EURO.

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

    Visa ___ Diners ___ 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:

    Ragnhild Fesel
    Berliner Sparkasse, Bank code 100 500 00, SWIFT: BELADEBE
    Account No 53505816

    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:_______________________________________________________
