_____________________________________________________________
Algomedia Registration Form
Fax this form to +41 61 383 0 555 or send it to:

ALGOMEDIA SOFTWARE
P.O. Box 1082
4001 Basel
Switzerland

Online Registrations:  http://www.algomedia.com/register
_____________________________________________________________

Name:
Address:
Country:
Email:


Computer: (NEEDED FOR YOUR REGISTRATION CODE, ONLY CHECK ONE!)
========
[ ] Windows 95
[ ] BeOS
[ ] MacOS   ([ ] PowerMac  [ ] 68040)


Where did you find Dark Corona PEGASUS ?  
[] Internet  [] Shareware CD-ROM  [] other
____________________________________________________________
Product:      [X] 1 Dark Corona PEGASUS   US$ 17  = CHF 24
____________________________________________________________

Payment method:

[ ] Credit Card
   
   [ ] VISA     [ ] MasterCard
   Card Number:                     Exp. Date:
   Cardholder (Name on Card):

   Signature:
   (if printed)

[ ] Check
    Make checks payable to "ALGOMEDIA SOFTWARE" and add $3

[ ] Cash
    (Send US$ or CHF) at your own risk!
____________________________________________________________________
Get the code:  (please check only one)
[ ] via email
[ ] via fax
[ ] via postal mail   
____________________________________________________________________
[0928asc, PEGASUS Win]

