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Text File  |  1996-12-04  |  1.0 KB  |  45 lines
  1. Send to: Tobias Lenz                Date: _______________
  2.      Geitnerweg 21K
  3.      D 12209 Berlin, GERMANY
  4.  
  5.  
  6. Product list (check items):        price in US dollar  /    DM
  7.  
  8.  [ ]  Pairs PC (3.5" disk)            $15.00        20,-
  9.  
  10. Form of shipping (check only one!):
  11.  
  12.  [ ]  as ZIP archive via email            free        free
  13.       (You MUST have an email account!)
  14.  
  15.  [ ]  on disk via mail                $2.00        2,-
  16.                            ----------------------
  17.                 Order total:
  18.                            ======================
  19.                         (money included - cash)
  20.  
  21.  
  22. Your Name: _________________________________
  23.  
  24. Your mailing address:    _____________________________________
  25.  
  26.             _____________________________________
  27.  
  28.             _____________________________________
  29.  
  30. Email: _____________________________________
  31.  
  32.  
  33.  
  34.                     ___________________________
  35.                         (sign here)
  36.  
  37. Further informations (optional):
  38.  
  39. Your processor:  [ ] 486DX ___ MHz    [ ] pentium ___ MHz
  40.  
  41.          [ ] other: __________________
  42.  
  43. Your OS:  [ ] Windows/MSDOS    [ ] Win95    [ ] other: ______________
  44.  
  45. Memory:  ____ MB        CD-ROM drive:  [ ] No    [ ] Yes __x speed