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- ║ VOC-AIT Order Form ║
- ║ Version 1.03, 03-03-92 ║
- ║ ║
- ║ Copyright 1991, Stichting VOC, Huizen. All Rights Reserved. ║
- ║ ║
- ║ Return this form to : Stichting VOC ║
- ║ Westkade 227 ║
- ║ 1273 RJ Huizen ║
- ║ NL Nederland / Holland ║
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- ║ ===> Please read the information in the REGISTER.DOC before ║
- ║ ordering! Otherwise we may not have enough information ║
- ║ to process your order, it may be delayed or canceled. ║
- ║ ║
- ║ Database: Dutch -> English - English -> Dutch (x) ____ ║
- ║ ║
- ║ : German -> English - English -> German (x) ____ ║
- ║ ║
- ║ : Dutch -> German - German -> Dutch (x) ____ ║
- ║ ║
- ║ : French -> Dutch - Dutch -> French (x) ____ ║
- ║ ║
- ║ Name : _________________________________________________ ║
- ║ ║
- ║ Company : _________________________________________________ ║
- ║ ║
- ║ Address : _________________________________________________ ║
- ║ ║
- ║ _________________________________________________ ║
- ║ ║
- ║ Phone : _________________________________________________ ║
- ║ ║
- ║ Registration ║
- ║ Name (35 chr) : ___________________________________________ ║
- ║ ║
- ║ Type of floppy : 3 1/2 " or 5 1/4 " HD/Normal ║
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- ║ ╚═════════╝ ╚═════════╝ ╚═════════╝ ║
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- ║ Registration for each VOC-AIT Wordlist is: U.S.$ 50,- ║
- ║ ║
- ║ Quantity _______ x U.S.$ 50.- = U.S.$ ____________ ║
- ║ ║
- ║ Note !! ║
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- ║ The cost of money transfer is NOT included in the deal !!! ║
- ║ Ask your banker or postoffice all the information needed ! ║
- ║ The cheapest way is mailing the amount (if small) to us. ║
- ║ The risk of loss is limited, but will not be acknowledged. ║
- ║ ║
- ║ Type and date of ║
- ║ money transfer: _____________________________________ ║
- ║ ║
- ║ I read and agree abiding the VOC license agreement: ║
- ║ ║
- ║ (Date and Signature) ║
- ║ ______________________________________ ║
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