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ORDERFRM.ENG
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1996-11-10
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3KB
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70 lines
Register-Form OS/2-Planets v2.x
===============================
If you are from the USA or Canada see ORDERFRM.USA
TO: Martin Mirgel, Dipl.Ing.
Ringstr. 24
56203 Höhr-Grenzhausen
Germany
Fido: 2:2454/99, 2:2454/990
Gernet: 21:490/2215
VPLnet: 70:7101/441, 70:7101/442
OS2Net: 81:449/5699
FROM:
Name: ___________________________________________________________
Title: ___________________________________________________________
Street: ___________________________________________________________
City: ___________________________________ Country: _____________
Postal/Zip Code: ___________________________ Voice: _______________________
E-mail: _____________________________ FAX: _______________________
Send registration-code to the E-mail-address: _______________________
(Only for CM-systems in Fidonet, Gernet, Vplnet or OS2Net)
If you have no propper E-mail-address you will receive the registration-code
via snail-mail, i.e. in a letter
[1-2] ____ x OS/2-Planets v2.0 (à 35.- DM / 25.- $) = _________
[3-5] ____ x OS/2-Planets v2.0 (à 30.- DM / 22.- $) = _________
[6-9] ____ x OS/2-Planets v2.0 (à 27.- DM / 20.- $) = _________
[> 9] ____ x OS/2-Planets v2.0 (à 25.- DM / 18.- $) = _________
==========
Payments can be done by sending cheques (payable to Martin Mirgel) or
money (only Deutsch-Marks or US-Dollar).
You can also transfere money to the below bankaccount:
bankaccountnumber: 101 548 345
banknumber: 570 501 20
bank: Sparkasse Koblenz
Names for registration:
1. ____________________ 10. _______________ 19. _________________
2. ____________________ 11. _______________ 20. _________________
3. ____________________ 12. _______________ 21. _________________
4. ____________________ 13. _______________ 22. _________________
5. ____________________ 14. _______________ 23. _________________
6. ____________________ 15. _______________ 24. _________________
7. ____________________ 16. _______________ 25. _________________
8. ____________________ 17. _______________ 26. _________________
9. ____________________ 18. _______________ 27. _________________