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Text File  |  1996-09-29  |  3KB  |  63 lines
  1.  
  2.  
  3.  
  4.       ------------------------------------------------------------------------
  5.         Remit to: Connect GmbH, Alsterdorferstr 201, D-22297 Hamburg, Germany
  6.       ------------------------------------------------------------------------
  7.       Quan            Item                                             Price
  8.  
  9.       ___  Telix For Windows v1.00...............   @  198 DM  ea   ________DM
  10.             (commercial, shrinkwrap package)
  11.  
  12.       ___  Telix For Windows Upgrade ............   @   99 DM  ea   ________DM
  13.             (required valid Telix Serial Number(s):
  14.             or proof of purchase from authorized agent)
  15.  
  16.       ___  Telix For Windows Crossgrade .........   @  139 DM  ea   ________DM
  17.             (proof of purchase of competing and
  18.             commercially available program required)
  19.  
  20.       Language                   Disk Media                 Prices
  21.       ==============             ================           ================
  22.       [  ]  English              3.5 inch only.             Inclusive 15%
  23.       [  ]  German                                          German VAT
  24.  
  25.       Subtract 13.04% VAT if not ordering from inside EU      VAT  (_______)DM
  26.       or if you are a company with an EU VAT-ID-number:
  27.  
  28.       Single Copy Shipping/Handling is: 20 DM            Shipping   ________DM
  29.  
  30.       Please call +49 (040) 511 7073 for
  31.       shipping rates on more than one copy               Subtotal   ________DM
  32.  
  33.                                                             TOTAL   ________DM
  34.  
  35.       ------------------------------------------------------------------------
  36.       Payment by: ( ) Check or MO  ( ) VISA/MC
  37.  
  38.           Name________________________________________________________________
  39.  
  40.        Company________________________________________________________________
  41.  
  42.        Address________________________________________________________________
  43.  
  44.               ________________________________________________________________
  45.  
  46.                  Visa/MC orders will be charged in German currency
  47.           The following information is needed for VISA/MC card payments
  48.  
  49.          Phone(______)____________________  Other(______)_____________________
  50.  
  51.         Card #________________________________________  Expiry date___________
  52.  
  53.       Name of cardholder______________________________________________________
  54.  
  55.       Date, Signature_________________________________________________________
  56.  
  57.       (VISA/MC orders may call voice: (040) 511 7073 , or fax (040) 511 7074 )
  58.  
  59.       Cheques not drawn on a bank in Germany please add 20 DM for bank charges
  60.  
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