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Text File  |  1990-11-05  |  4KB  |  125 lines
  1.  
  2.  
  3. Bremin & Co AB                               Order Form 901105 (giro)
  4. ---------------------------------------------------------------------
  5. Transfer full amount to either:          Postal Giro Sweden Int'l
  6.                                          34 55 92-0, Bremin & Co AB
  7.  
  8.                             or:          S-E Banken, Hantverkarg 24 
  9.                                          Stockholm, Sweden
  10.                                          5265-1002836, Bremin & Co AB
  11.  
  12. (Swedish residents can also use bankgiro 5402-9376, Bremin & Co AB).
  13.  
  14. All payments must be made in SEK (the Swedish currency). Postgiro-
  15. konto, Postscheckkonto, Girobank Account, Compte cheques postaux, 
  16. postgiroamt, Postisiirtotili or equivalent services are recommended. 
  17. Always specify name and date of order, and MAKE SURE ALL costs for 
  18. the transfer are covered! Incomplete orders will not be shipped. 
  19. ---------------------------------------------------------------------
  20. Mail address:                            Bremin & Co AB
  21.                                          Box 22072
  22.                                          S-104 22 Stockholm
  23.                                          SWEDEN
  24.  
  25. E-mail:                                  2:201/310@fidonet
  26.                                          27:1346/100@signet
  27.  
  28. BBS:                                     +46-8-7326905
  29.  
  30. Telefax:                                 +46-8-7325706
  31.  
  32. Complete this form and send it to us.
  33. ---------------------------------------------------------------------
  34.  
  35.  
  36. Date of order ____________________
  37.  
  38.  
  39.  
  40. Name          _______________________________________________________
  41.  
  42.  
  43.  
  44. Company       _______________________________________________________
  45.  
  46.  
  47.  
  48. Address       _______________________________________________________
  49.  
  50.  
  51.  
  52.               _______________________________________________________
  53.  
  54.  
  55.  
  56. Country       _______________________________________________________
  57.  
  58.  
  59.  
  60. Phone (day)   _________________________ (data) ______________________
  61.  
  62. ---------------------------------------------------------------------
  63.  
  64.  
  65. Bremin & Co AB                               Order Form 901105 (giro)
  66. ---------------------------------------------------------------------
  67.  
  68. Qty     Specification                Unit cost              Total
  69.  
  70.  
  71.  
  72. ____    FrontDoor 2.00           SEK ___________     SEK ___________
  73.                                  (see price list)
  74.  
  75.  
  76. ____    TosScan 1.00             SEK ___________     SEK ___________
  77.                                  (see price list)
  78.  
  79.  
  80.    1    Shipping and Handling;   foreign: SEK 100    SEK ___________
  81.                   domestic or money order: SEK 60
  82.  
  83.  
  84. ____    Handling cost for S.W.I.F.T., add SEK 30     SEK ___________   
  85.  
  86.  
  87.  
  88. ____    Express delivery (*)                         SEK ___________
  89.                                                     -----------------
  90.  
  91.  
  92.         Subtotal                                     SEK ___________
  93.  
  94.  
  95.  
  96.         Swedish residents, add 25% MOMS              SEK ___________
  97.                                                     -----------------
  98.  
  99.  
  100.         Total                                        SEK ___________
  101.  
  102. ---------------------------------------------------------------------
  103.                                              Mark one!
  104.  
  105. Diskette type:                               [ ] 5.25"      [ ] 3.5"
  106.  
  107.                                               
  108. For TosScan, specify message base format:    [ ] QBBS/RA    [ ] MSG 
  109.  
  110.  
  111.  
  112. Network address: (zone:net/node, if affiliated) _____________________
  113.  
  114. ---------------------------------------------------------------------
  115.  
  116. Site licensing available. Please allow 2 - 4 weeks for delivery.
  117.  
  118. (*) Express delivery subject to availability, please call us and ask
  119. for a confirmation first! Actual rate depends on destination and will
  120. be declared in the confirmation.
  121.  
  122. All prices subject to change without prior notice; make sure to use
  123. the most recent order form. (Update) file request FDORDER from 
  124. 2:201/310@fidonet or 27:1346/100@signet if unsure of validity!
  125.