                      FAX-/EMAIL-ORDER-FORM
                      =====================

                    BROKAT INFORMATIONSSYSTEME GMBH
                    HANS-KLEMM-STR. 5
                    D-71034 BOEBLINGEN, GERMANY
                    EMAIL: JTHUMM@IBM.NET
                    FAX: +49-(0)7031-717171

ADDRESS:

 Name ________________________________________________________________________
 Company _____________________________________________________________________
 Address _____________________________________________________________________
 City ________________________________________________________________________
 State/Province _________________________ Zip/Postal Code ____________________
 Country ________________________________ EMail ______________________________

PRODUCTS:

 The following packages are available (see PACKAGES.TXT for details):

   BikeBattle update disk from demo to original
   version, including some extension sounds            US $ 30 / DM 40

   BikeBattle deluxe extension sounds package,
   16 MB RAM recommended, 4 disks. Requires update
   disk to be installed previously.                    US $ 40 / DM 50

   BikeBattle update disk AND sound extension package  US $ 50 / DM 60

 I confirm that the playable evaluation demo of BikeBattle V 1.95 runs
 successfully on my PC. Therefore I order:

 NAME                                 VER.  QTY.   AMOUNT ($/DM)
 BB update disk                       1.95  ____   _____________
 BB sound extensions package          1.95  ____   _____________
 BB update disk AND sound extensions  1.95  ____   _____________

                                           TOTAL   _____________

METHOD OF PAYMENT:

 Visa ____ MasterCard ____ Cash ____
 Credit Card No. ____________________________________
 Exp. Date __________________________________________
 Bank _______________________________________________
 Name on Card _______________________________________

 Date:_____________ Sign here:_______________________


 BROKAT would like to know on which systems the game actually runs.
 Please fill out the following informations:
   My soundcard:  ________________ My graphics board: _________________
   My operating system: ___ Windows 3.1   ___ Windows 95   ___ Win-OS/2

