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Text File  |  1996-08-05  |  3KB  |  88 lines
  1. ----------------------------------------------------------------------
  2.                              Schenk & Horn
  3.                               Order Form
  4. ----------------------------------------------------------------------
  5.  
  6. Please fill out this form and send it to:
  7.  
  8. Schenk & Horn                             or fax it to:
  9. Kutterweg 8                               +49-451-898521
  10.  
  11. D-23558 Luebeck                           or e-mail it to:
  12.                                           sales@sharedirect.com
  13. Germany                                   
  14.  
  15.  
  16.  
  17.  
  18.  
  19. Name....: ___________________________________________________________
  20.  
  21. Street..: ___________________________________________________________
  22.  
  23. City....: ___________________________________________________________
  24.  
  25. Country.: ___________________________________________________________
  26.  
  27. E-Mail..: ___________________________________________________________
  28.  
  29. I order a registration key for...
  30.  
  31.        Product              # of copies    Cost      Total
  32.        -------------------- -----------  -------- -----------
  33.  
  34.        SH-CopyStar              ___      39,-- DM  ________DM
  35.                                     (about US$30)
  36.  
  37.        SH-WinColorStar2000      ___      29,-- DM  ________DM
  38.                                     (about US$20)
  39.  
  40.        Pogo's Dreams            ___      29,-- DM  ________DM
  41.                                     (About US$20)
  42.  
  43.        Charly the clown         ___      29,-- DM  ________DM
  44.                                     (about US$20)
  45.  
  46.        ____________________     ---        ,-- DM  --------DM
  47.  
  48.        p&p                       1                 ________DM
  49.        --> no p&p if you order registration key(s) ONLY
  50.            AND you want to receive them by e-mail.
  51.        --> 1,-- DM p&p if you order registration key(s) ONLY.
  52.        --> in any other case:  8,-- DM for german residents
  53.                               12,-- DM from outside germany.
  54.        -------------------- -----------  -------- -----------
  55.  
  56. Payment:
  57.  
  58. ( ) VISA
  59. ( ) Diners Club
  60. ( ) Eurocard
  61. ( ) MasterCard
  62. ( ) American Express
  63. ( ) Cheque
  64.  
  65. Credit Card Number: _______________________________________
  66.  
  67. Expiration date...: ____/____
  68.  
  69. Owner.............: _______________________________________
  70.  
  71.  
  72.                         ___.___.___       _________________________________
  73.                         Date              Signature
  74.  
  75.                                                this offer subjects to change
  76. ---------------------------- cut here --------------------------------------
  77.  
  78. If you are a CompuServe user you also can register by using SWREG:
  79.  
  80. #4030 SH-CopyStar       $30        
  81. #4031 SH-ColorStar 2000 $20
  82. #4032 SH-Strichcode     $15
  83. #8211 SH-Winblocker     $30
  84. #8451 Charly the clown  $50
  85.  
  86. ----------------------------------------------------------------------------
  87.  
  88.