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  1. ╔══════════════════════════════════════════════════════════════╗
  2. ║                       VOC-AIT Order Form                     ║
  3. ║                     Version 1.03, 03-03-92                   ║ 
  4. ║                                                              ║
  5. ║  Copyright 1991, Stichting VOC, Huizen. All Rights Reserved. ║
  6. ║                                                              ║
  7. ║     Return this form to :         Stichting VOC              ║
  8. ║                                   Westkade 227               ║
  9. ║                                   1273 RJ Huizen             ║
  10. ║                                   NL Nederland / Holland     ║
  11. ╠══════════════════════════════════════════════════════════════╣
  12. ║ ===> Please read the information in the REGISTER.DOC before  ║
  13. ║      ordering! Otherwise we may not have enough information  ║
  14. ║      to process your order, it may be delayed or canceled.   ║
  15. ║                                                              ║
  16. ║ Database: Dutch -> English  - English -> Dutch     (x) ____  ║
  17. ║                                                              ║
  18. ║         : German -> English - English -> German    (x) ____  ║
  19. ║                                                              ║
  20. ║         : Dutch -> German   - German -> Dutch      (x) ____  ║
  21. ║                                                              ║
  22. ║         : French -> Dutch   - Dutch -> French      (x) ____  ║
  23. ║                                                              ║
  24. ║ Name    : _________________________________________________  ║
  25. ║                                                              ║
  26. ║ Company : _________________________________________________  ║
  27. ║                                                              ║
  28. ║ Address : _________________________________________________  ║
  29. ║                                                              ║
  30. ║           _________________________________________________  ║
  31. ║                                                              ║
  32. ║ Phone   : _________________________________________________  ║
  33. ║                                                              ║
  34. ║ Registration                                                 ║
  35. ║ Name (35 chr) : ___________________________________________  ║
  36. ║                                                              ║
  37. ║ Type of floppy :  3 1/2 "   or    5 1/4 "      HD/Normal     ║
  38. ║                 ╔═════════╗    ╔═════════╗    ╔═════════╗    ║
  39. ╠═════════════════╣         ╠════╣         ╠════╣         ╠════╣
  40. ║                 ╚═════════╝    ╚═════════╝    ╚═════════╝    ║
  41. ║                                                              ║
  42. ║     Registration for each VOC-AIT Wordlist is:  U.S.$  50,-  ║
  43. ║                                                              ║
  44. ║     Quantity _______  x  U.S.$ 50.-  =  U.S.$ ____________   ║
  45. ║                                                              ║
  46. ║     Note !!                                                  ║
  47. ║     -------                                                  ║
  48. ║   The cost of money transfer is NOT included in the deal !!! ║
  49. ║   Ask your banker or postoffice all the information needed ! ║
  50. ║   The cheapest way is mailing the amount (if small) to us.   ║
  51. ║   The risk of loss is limited, but will not be acknowledged. ║
  52. ║                                                              ║
  53. ║   Type and date of                                           ║
  54. ║   money transfer:  _____________________________________     ║
  55. ║                                                              ║
  56. ║   I read and agree abiding the VOC license agreement:        ║
  57. ║                                                              ║
  58. ║   (Date and Signature)                                       ║ 
  59. ║                    ______________________________________    ║ 
  60. ╚══════════════════════════════════════════════════════════════╝
  61.                                                                 
  62.                                                                 
  63.