home *** CD-ROM | disk | FTP | other *** search
/ PC Shareware 1995 May / pc_shareware_6.zip / PC_COMDR.RAR / ZAMOW.TXT < prev   
Text File  |  1995-02-22  |  3KB  |  42 lines
  1. ┌───────────────────────────────────────────────────────────┐
  2. │        ┌────────────────────────────────────────┐         │
  3. │        │ ZAMOWIENIE na program PC Commander 2.0 │         │
  4. │        └────────────────────────────────────────┘         │
  5. │ Skladam zamówienie na _______ kopii programu PC Commander │
  6. │    w nastepujacych cenach (z uwzglednieniem zniezek):     │
  7. │                                                           │
  8. │ Pierwsza kopia w cenie ________ zÆ                        │
  9. │                                                           │
  10. │ Nastæpne w cenie       ________ zÆ  [ ] Znizka dla szkoly │
  11. │                                                           │
  12. │ Warto₧ì calkowita   ___________ zÆ  [ ] z VAT             │
  13. │                                                           │
  14. │ Zalaczam kopie dowodu zaplaty w postaci:                  │
  15. │                                                           │
  16. │           [ ] przekazu       [ ] przelewu                 │
  17. │                                                           │
  18. │ na konto: PKO BP XIV O/Wwa, nr r-ku: 1645-64448-136       │
  19. │                                                           │
  20. │ Proszæ o wystawienie rachunku: [ ] uproszczonego, [ ] VAT │
  21. │                                                           │
  22. │ Zamawiajacy:                                              │
  23. │                                                           │
  24. │                                                           │
  25. │ ________________________________________________________  │
  26. │                    (imiæ i nazwisko)                      │
  27. │                                                           │
  28. │ ________________________________________________________  │
  29. │                    (nazwa instytucji)                     │
  30. │                                                           │
  31. │ ________________________________________________________  │
  32. │                        (adres)                            │
  33. │                                                           │
  34. │ ________________________________                          │
  35. │   (numer NIP jesli konieczny)                             │
  36. │                                                           │
  37. │                                                           │
  38. │         _________________________________________________ │
  39. │                         (podpis / piecztka)               │
  40. │                                                           │
  41. └───────────────────────────────────────────────────────────┘
  42.