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REGISTER.FRB
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1995-08-10
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3KB
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70 lines
Address : Dvinyaninov A., Postbox 16, 620033, Ekaterinburg, Russia
Bank Account : 20700101 in Most Bank branch in Ekaterinburg,
Mamina Sibiryaka str, 145, 620011, Russia
with
N 076001002 in Most Bank, Moscow
with
[bank transfer] : ___________________________________________________
___________________________________________________
ORDER
___ copies VIT
payment
for THE ONLY COPY $ 20 ........................ $________
for 2-9 COPIES is $ 20 * COPIES ............... $________
for 10-49 COPIES is $ 15 * COPIES ............. $________
for 50 or more COPIES is $ 10 * COPIES ........ $________
add for GET ONE DISKETTE from author $ 20 ..... $________
( the last VIT version send )
Diskette format ( choose one )
5.25" 360k [ ] 720K [ ] 1.2M [ ]
3.5" 1.4M [ ]
Subtotal .......................................... $________
( Recomended payment is any payment via bank transfer )
Payment is done by (check one)
Credit Cards
[ ] VISA | Card Number: _________________________
[ ] MasterCard | Exact name on card: Exp.:
[ ] American |
Express | __________________________ _____
[ ] Euro |
[ ] Access | Signature: ___________________________
[ ] __________ |
Credit Cards (add 5% surcharge) .............. $________
[ ] Check ( send to address, mentioned above ) in USD or RUS RUBLES
[ ] Money order in USD or RUS RUBLES
[ ] bank transfer (prepaid) to Most Bank, Moscow, N 076001002,
with Most Bank branch in Ekaterinburg, account 20700101
Total amount due .................................. $________
State on cheque and/or money order: 'VIT registration'
Name ______________________________________________________________
Company ______________________________________________________________
Address ______________________________________________________________
______________________________________________________________
______________________________________________________________
I have read and agree to abide by the VIT license agreement:
(Signature) __________________________________________
Wish _____________________________________________________________
_____________________________________________________________
_____________________________________________________________
=== * EOF * =======================================================