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Text File  |  1993-08-31  |  2KB  |  60 lines
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  2.                   INFINITYPE PLUS ORDER FORMULIER
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  4.  
  5. Bel 04781-42422 of neem kontakt op met uw dealer. Fax orders: 04781-42423
  6.  
  7. __ Ja, Ik wil infiniType Plus bestellen
  8.    voor Hfl 270,- excl. BTW.
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  10. _______________________________________________
  11. Naam
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  13. _______________________________________________
  14. Bedrijf
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  16. _______________________________________________
  17. Adres
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  19. _______________________________________________
  20. Postcode              Plaats
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  22. _______________________________________________
  23. Telefoonnummer
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  27.  OMSCHRIJVING              PRIJS   AANTAL  TOTAAL
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  30.  infiniType Plus          Fl.270      ____   _______
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  33.           BETAALWIJZE
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  35.  
  36. __ Rembours
  37.    
  38.  
  39. __ Euro/MasterCard    
  40. ________________________________________________
  41. Kaartnummer
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  43. ________________________________________________
  44. Naam kaarthouder                       Exp. datum
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  46. ________________________________________________
  47. Handtekening
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  52.  Orders aan:  PC-Computnig BV
  53.                      Postbus 13
  54.                      5825 ZG  Overloon
  55.                      Nederland
  56.  
  57.  Tel     :            04781-42422
  58.  Fax:    :            04781-42423
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