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Text File  |  1996-07-10  |  1KB  |  40 lines

  1.  
  2.                                   Order Form
  3.  
  4.  
  5. Sold To: ____________________________________________________________________
  6.  
  7. Company: ____________________________________________________________________
  8.  
  9. Address: ____________________________________________________________________
  10.  
  11. City: ____________________________ State: __________  Zip Code: __________
  12.  
  13. Phone: ___________________________________ Data: __________________________
  14.  
  15. Compuserve or Other Email Address: ________________________________________
  16.  
  17.  
  18.  
  19.  
  20.   [  ] Copies ANT (Single Server Network)   @ $109.00 Each __________
  21.  
  22.   [  ] Copies ANT (Multiple Server Netw.)   @ $199.00 Each __________
  23.  
  24.                                      Shipping and Handling   $10.00
  25.  
  26.                                                Total Price __________
  27.  
  28.  
  29.   Please send remittance in form of Check or Money Order to:
  30.  
  31.                Thomas Hofmann
  32.                Brueder Grimm Str. 16
  33.                D - 6466 Gruendau 2
  34.                GERMANY     
  35.  
  36.   Please allow two weeks for delivery (UPS)
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