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  1.          ┌───────────────────────────────────────────────────────────┐
  2.          │   Anmeldung  fuer  HARRY'S MENUEGENERATOR   Version 2.2   │
  3.          ├───────────────────────────────────────────────────────────┤
  4.          │                                                           │
  5.          │                                                           │
  6.          │   ┌──────────────────────────┐                            │
  7.          │   ├──────────────────────────┤        nicht ausfüllen:    │
  8.          │   │ An                       │         ┌─────────────┐    │  
  9.          │   │ Gutzelnig Harald         │  Reg.nr.│............ │    │
  10.          │   │                          │         └─────────────┘    │
  11.          │   │ Tobra 40                 │                            │
  12.          │   │ A-4320  PERG             │                            │
  13.          │   └──────────────────────────┘                            │
  14.          │                                                           │
  15.          │   Ich  bestelle die  Vollversion des  oben  genannten     │
  16.          │   Programms für den                                       │
  17.          │   gewerblichen / privaten Gebrauch / als Mehrplatzlizenz  │
  18.          │   mit / ohne  Dateimanager                                │
  19.          │   mit / ohne Originaldisk des PD-Editors VDE (+ DM 5,-)   │
  20.          │            (Nichtzutreffendes bitte streichen!)           │
  21.          │                                                           │
  22.          │   Meine Anschrift:                                        │
  23.          │                                                           │
  24.          │   Name:   ....................                            │
  25.          │                                                           │
  26.          │   Vorname: ...................                            │
  27.          │                                                           │
  28.          │   Str.:   ....................                            │
  29.          │                                                           │
  30.          │   Postlz.: .....   Ort:    ....................           │
  31.          │                                                           │
  32.          │   Land:   ....................                            │
  33.          │                                                           │
  34.          │                                                           │
  35.          │   Datum:.......          Unterschrift:.................   │
  36.          ├───────────────────────────────────────────────────────────┤
  37.          │   Bitte ebenfalls ausfuellen!                             │
  38.          │                                                           │
  39.          │   Diskettenformat: .......                                │
  40.          │                                                           │
  41.          │   Ich habe die Pruefversion bezogen bei:                  │
  42.          │                                                           │
  43.          │   .....................................................   │
  44.          │                                                           │
  45.          │   Ich halte das Programm fuer                             │
  46.          │   ( ) sehr gut   ( ) gut   ( ) brauchbar  ( ) weniger gut │
  47.          │                                                           │
  48.          │   Verbesserungsvorschlaege:                               │
  49.          │                                                           │
  50.          │   .....................................................   │
  51.          ├───────────────────────────────────────────────────────────┤
  52.          │   Der Betrag von (siehe READ.ME-Datei)                    │
  53.          │                                                           │
  54.          │                ...DM / ...OeS/ ...sFR                     │
  55.          │                                                           │
  56.          │   ( ) ist beigelegt (ACHTUNG! Euroschecks bitte auf       │
  57.          │                      ÖS ausstellen)                       │
  58.          │   ( ) wurde auf das Konto 8262.510 der oesterreichischen  │
  59.          │       Postsparkasse (BLZ 60000) ueberwiesen               │
  60.          │   ( ) ich wuensche die Lieferung per Nachnahme            │
  61.          │       (zuzueglich  DM 8,- / OeS 35,- / sFR 7,-)           │
  62.          └───────────────────────────────────────────────────────────┘
  63.  
  64.