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  1.  
  2.                       B E S T E L L S C H E I N 
  3.                       _________________________
  4.  
  5.  
  6.  
  7.   Name ___________________________________
  8.                                                Robert Strakovits
  9.   Straße _________________________________     Wallstr. 14
  10.                                                W-79761 Waldshut
  11.   Ort ____________________________________
  12.                                                Tel. 07751 7159
  13.   Telefon ________________________________     Fax. 07751 70880
  14.   (Bitte leserlich schreiben)                                          
  15.  
  16.                                                Datum ________________
  17.  
  18.  
  19.  
  20.     Bitte senden Sie mir die registrierte Vollversion:
  21.  
  22.  
  23.     _________________________________________________________________
  24.    |        |                            |             |             |
  25.    | Anzahl |    Titel                   |   Einzel    |   Gesamt    |  
  26.    |________|____________________________|_____________|_____________|
  27.    |        |                            |             |             |
  28.    |        |    SMARTEDITOR 2.4         |   40.-      |             |
  29.    |        |                            |             |             | 
  30.    |   1    |    SYSEDIT 1.0             |    -.-      |     -.-     |
  31.    |        |                            |             |             | 
  32.    |        |    plus Porto u. Versand   |             |     5.-     |
  33.    |________|____________________________|_____________|_____________|
  34.                                                        |             |
  35.                                           Total        |             | 
  36.                                                         =============
  37.       [ ]  5 ¼      [ ]  3 ½  Disketten 
  38.  
  39.  
  40.   Anbei
  41.  
  42.   (  ) Verrechnungsscheck 
  43.   (  ) Bar oder                        
  44.   (  ) per Banküberweisung an:
  45.  
  46.   Robert Strakovits, DEUTSCHE BANK, Filiale Waldshut/Hochrhein
  47.   Kontonr. 1117852         Bankleitzahl: 68370034
  48.   
  49.  
  50.  
  51.   * Platz für Anregungen:
  52.