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/ EnigmA Amiga Run 1996 June / EnigmA AMIGA RUN 08 (1996)(G.R. Edizioni)(IT)[!][issue 1996-06][EARSAN CD VII].iso / earcd / utmisc1 / mrchn227.lha / Mui-Rechnung / Registration < prev    next >
Text File  |  1996-04-02  |  4KB  |  60 lines
  1. +------------------------------------------------------------+
  2. |         MUI-Rechnung V2.27 Registrierungsformular          |
  3. |                                                            |
  4. |                  (gültig bis 30.04.1996)                   |
  5. |                                                            |
  6. | (Firma)  : _______________________________________________ |
  7. |                                                            |
  8. | Name     : _______________________________________________ |
  9. |                                                            |
  10. | Adresse  : _______________________________________________ |
  11. |                                                            |
  12. |            _______________________________________________ |
  13. |                                                            |
  14. |            _______________________________________________ |
  15. |                                                            |
  16. |                                                            |
  17. | Woher haben Sie diese (Demo)-Version: ____________________ |
  18. |                                                            |
  19. | __________________________________________________________ |
  20. |                                                            |
  21. |                                                            |
  22. | Die Shareware-Gebühr über 50,-- DM                         |
  23. |                                                            |
  24. |   ___   zahle ich per Banküberweisung                      |
  25. |                                                            |
  26. |   ___   zahle ich in Bar (liegen dem Brief bei)            |
  27. |                                                            |
  28. |   ___   zahle ich per Eurocheque (liegt dem Brief bei)     |
  29. |                                                            |
  30. |                                                            |
  31. | Ich möchte die registrierte Version auf                    |
  32. |                                                            |
  33. |   ___   DD Diskette(n)                                     |
  34. |                                                            |
  35. |   ___   HD Diskette(n) geliefert bekommen.                 |
  36. |                                                            |
  37. |                                                            |
  38. | Ich verwende folgenden Drucker mit der Auflösung: ________ |
  39. |                                                            |
  40. | __________________________________________________________ |
  41. |                                                            |
  42. |                                                            |
  43. | gefundene Fehler: ________________________________________ |
  44. |                                                            |
  45. | __________________________________________________________ |
  46. |                                                            |
  47. | __________________________________________________________ |
  48. |                                                            |
  49. | __________________________________________________________ |
  50. |                                                            |
  51. +------------------------------------------------------------+
  52. |   Anschrift:               Bankverbindung:                 |
  53. |                                                            |
  54. |   Stefan Scherer           Kreissparkasse Höchstadt        |
  55. |   An der Fehdenwiese 1     BLZ 763 515 60                  |
  56. |   91334 Hemhofen           Konto: 430 654 947              |
  57. |   Deutschland                                              |
  58. |   Tel: 09195/994970                                        |
  59. +------------------------------------------------------------+
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