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  1. +------------------------------------------------------------+
  2. |         MUI-Rechnung V2.25 Registrierungsformular          |
  3. |                                                            |
  4. |                                                            |
  5. | (Firma)  : _______________________________________________ |
  6. |                                                            |
  7. | Name     : _______________________________________________ |
  8. |                                                            |
  9. | Adresse  : _______________________________________________ |
  10. |                                                            |
  11. |            _______________________________________________ |
  12. |                                                            |
  13. |            _______________________________________________ |
  14. |                                                            |
  15. |                                                            |
  16. | Woher haben Sie diese (Demo)-Version: ____________________ |
  17. |                                                            |
  18. | __________________________________________________________ |
  19. |                                                            |
  20. |                                                            |
  21. | Die Shareware-Gebühr über 50,-- DM                         |
  22. |                                                            |
  23. |   ___   zahle ich per Banküberweisung                      |
  24. |                                                            |
  25. |   ___   zahle ich in Bar (liegen dem Brief bei)            |
  26. |                                                            |
  27. |   ___   zahle ich per Eurocheque (liegt dem Brief bei)     |
  28. |                                                            |
  29. |                                                            |
  30. | Ich möchte die registrierte Version auf                    |
  31. |                                                            |
  32. |   ___   DD Diskette(n)                                     |
  33. |                                                            |
  34. |   ___   HD Diskette(n) geliefert bekommen.                 |
  35. |                                                            |
  36. |                                                            |
  37. | Ich verwende folgenden Drucker mit der Auflösung: ________ |
  38. |                                                            |
  39. | __________________________________________________________ |
  40. |                                                            |
  41. |                                                            |
  42. | Vorschläge und Wünsche, gefundene Fehler: ________________ |
  43. |                                                            |
  44. | __________________________________________________________ |
  45. |                                                            |
  46. | __________________________________________________________ |
  47. |                                                            |
  48. | __________________________________________________________ |
  49. |                                                            |
  50. | __________________________________________________________ |
  51. |                                                            |
  52. | __________________________________________________________ |
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  54. +------------------------------------------------------------+
  55. |   Anschrift:               Bankverbindung:                 |
  56. |                                                            |
  57. |   Stefan Scherer           Kreissparkasse Höchstadt        |
  58. |   An der Fehdenwiese 1     BLZ 763 515 60                  |
  59. |   91334 Hemhofen           Konto: 430 654 947              |
  60. |   Deutschland                                              |
  61. |   Tel: 09195/994970                                        |
  62. +------------------------------------------------------------+
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