Payment of Shareware fee
========================

for the program #0280

MI-MPEG-Inspector, the analyzing tool for MPEG files

Price : 21.50 Euro

O  I would also like to order the Shareware-CD (please tick). 
   Price EURO 5,- incl. postage & package.

I agree to the license agreement enclosed with the shareware software.

Order key : __________________ ( Important! Please insert here from your windows clipboard !!!)

Name:    ____________________________________________________________________

Address: ____________________________________________________________________

         ____________________________________________________________________

Country: ____________________________________________________________________

eMail:   ___________________________________

Phone:   _______________________________   Fax: _____________________________

O  Please charge my credit card:
   O VISA   O MasterCard/EuroCard   O Diners Club   O American Express
   Card number __ __ __ __   __ __ __ __   __ __ __ __   __ __ __ __
   Expiry date __ __ / __ __      Card verification code __ __ __ __

O  The money has been transferred to the account 
     Jochen Merz Software, 'Deutsche Postbank AG NL Essen',
     No. 6111 00-437, BLZ 360 100 43, SWIFT/BIC: PBNKDEFF360
     IBAN: DE21 3601 0043 0611 1004 37
    Please make sure that the full amount of money will actually arrive.
    (Most banks offer different charges for different methods, please ask them).

O  An International Postal Order is on its way to Jochen Merz Software.

---- If you choose one of the payment methods listed above, then you can 
     email, fax or send the form to us (see address at the bottom) ----

O  International Reply Coupons enclosed (1 IRC = EURO 1.-) 

O  Cash enclosed (please register letter - for your and our security!)

O  A Visa/Citicorp/American Express Travellers Cheque is enclosed.
   Both signatures have to be given, so better register letter!

O  An Order cheque/International Money Order is enclosed. The receiver 
   has to be Jochen Merz Software, so nobody else can clear it. 
   Please add EUR 9,- to the total amount, to cover the high bank charges!
   No registration required.

---- If you choose one of the payment methods listed above, then you have to
     mail them to us ----



____________________________________________________
Date, Signature


This can be sent or faxed to:
Jochen Merz Shareware
Im stillen Winkel 12
47169 Duisburg
Germany
Tel. +49-203-501516
Fax  +49-203-501517
eMail: shareware@j-m-s.com