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Text File  |  1998-03-14  |  2KB  |  85 lines
  1.  
  2. GREPIT Order Form                                                2.20
  3. =====================================================================
  4.  
  5.  
  6.     +---------------------------------------------+
  7.     |                                             |
  8.     |         MicroService                        |
  9.     |         Hermann Wierl                       |
  10.     |         Bahnhofstrasse 8                    |
  11.     |         93336 Altmannstein                  |
  12.     |                                             |
  13.     |         Germany                             |
  14.     |                                             |
  15.     +---------------------------------------------+
  16.  
  17.     FAX: +49-9446-910003
  18.  
  19.  
  20.  
  21. Send to:      
  22. ========
  23.  
  24. Name/Company:        _______________________________________________
  25.  
  26. Address:             _______________________________________________
  27.  
  28.                      _______________________________________________
  29.  
  30. Country:             _______________________________________________
  31.  
  32. Telephone:           ____________________   Fax: ___________________
  33.  
  34. Email:               _______________________________________________
  35.  
  36.  
  37.  
  38. Price:               US$ 20
  39. ======               ======
  40.  
  41.  
  42. # Copies                Price per copy                TOTAL amount
  43.  
  44. _____  GREPIT     x      US$  _____.--       =        US$  _____.--
  45.  
  46.  
  47.  
  48. Payment enclosed:
  49.  
  50. ( ) Postal money order
  51. ( ) EUROcheque # _____________ (in DM only please!)
  52.  
  53. ( ) (other) Cheque # _________________ (add US$ 15 bank fee)
  54. ( ) Cash - Certified Mail only! (US or German currency please!)
  55.  
  56. Please allow a max. of 4 weeks for delivery of your registration key.
  57.  
  58.  
  59. Date / Signature: ___________________________________________________
  60.  
  61.  
  62.  
  63.  
  64. This GREPIT version was obtained...
  65. ( ) from a BBS - name/phone #: ______________________________________
  66. ( ) from a shareware vendor - name/city: ____________________________
  67. ( ) other: __________________________________________________________
  68.  
  69. GREPIT was tried because...
  70. ( ) a report in: ____________________________________________________
  71. ( ) other: __________________________________________________________
  72.  
  73.  
  74.  
  75. Suggestions for future improvements/comments:
  76.  
  77. _____________________________________________________________________
  78.  
  79. _____________________________________________________________________
  80.  
  81. _____________________________________________________________________
  82.  
  83.  
  84. Thank you!
  85.