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Text File  |  1994-08-11  |  813b  |  27 lines
  1.  
  2. SimpSamp Order Form     Send to:      Hermann Seib
  3.                                       Ashton & Aschenfeld Ges.m.b.H.
  4.                                       Rotenturmstrasse 25/11
  5.                                       A-1010 Vienna
  6.                                       Austria, EUROPE
  7.  
  8.  
  9. Name:    ________________________________________________________
  10.  
  11. Address: ________________________________________________________
  12.  
  13.          ________________________________________________________
  14.  
  15. City:    _______________________ State: _____ Zip: ______________
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  18.  
  19. SimpSamp   1.00: Number of Copies _____   $24.95 each): $________
  20.  
  21.                                  Shipping and Handling: $       5
  22.  
  23. Disk Format: 5.25" [ ]                  Total Enclosed: $________
  24.              3.5"  [ ]
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