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Text File  |  1995-03-02  |  1KB  |  41 lines
  1.  ------------------------------------------------------------------------------
  2.         Please remit to: SharePaper, Fasanveien 3, N-3243 KODAL, NORWAY
  3.  ------------------------------------------------------------------------------
  4.  
  5.                  
  6.  
  7.                   I want to order:
  8.   
  9.                   [ ] One year subscribtion (6 numbers) at $ 20.00
  10.  
  11.                   [ ] number(s) at $ 5.00 each
  12.  
  13.              
  14.             Name: ___________________________________________
  15.  
  16.          Address: ___________________________________________
  17.                    
  18.                   ___________________________________________
  19.  
  20.                   ___________________________________________
  21.  
  22.                   ___________________________________________
  23.  
  24.            Phone: ___________________________________________
  25.            
  26.           E-mail: ___________________________________________
  27.  
  28.  
  29.  
  30.                   Payment Method:
  31.  
  32.                   [ ] Cash enclosed
  33.  
  34.                   [ ] Check or money order payable to Lars Mathiassen
  35.  
  36.                   [ ] Bill me later (Scandinavia only)
  37.  
  38.  
  39.                   If payment in another currency is prefered, please
  40.                   send any amount worth the same as the USD amount.
  41.