 Algomedia Registration Form
 Fax this form to +41 61 383 0 555                                    
 or simply send it to this address:              
                                                     
      ALGOMEDIA SOFTWARE                            
      Postfach 1082                             
      4001 Basel                                     
      Switzerland                                    
                                                      
register@algomedia.com      
Online Registrations:  http://www.algomedia.com/register                                 
____________________________________________________________________

Name:
Address: 
Country: 
Email: 
(optional)
____________________________________________________________________

Product:      [X] Dark Corona PEGASUS for BeOS  ( US$ 17 )

Payment:
[] Credit Card

   [ ] VISA     [ ] MasterCard

   Card Number:  __________________________   Exp. Date:  ______   


   Cardholder (Name on Card):  _______________________________


   Signature:  _________________________________
   (if printed)

[ ] Check
    Make checks payable to "ALGOMEDIA SOFTWARE"

[ ] Cash US$ 17 
       Send cash at your own risk!

____________________________________________________________________
Get your registration code:  (please check only one)
[ ] via email (24 hours)
[ ] via fax (48 hours)
[ ] via postal mail (1-3 weeks)   ____________________________________________________________________
[Jan/98/Asc/PEGASUS/105/BEOS]