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  1.  
  2. GREPIT Order Form                                                2.00
  3. =====================================================================
  4.  
  5.  
  6.     +---------------------------------------------+
  7.     |                                             |
  8.     |         MicroService                        |
  9.     |         Hermann Wierl                       |
  10.     |         Bahnhofstrasse 8                    |
  11.     |         93336 Altmannstein                  |
  12.     |                                             |
  13.     |         Germany                             |
  14.     |                                             |
  15.     +---------------------------------------------+
  16.  
  17.     FAX: +49-9446-2149
  18.  
  19.  
  20.  
  21. Send to:      
  22. ========
  23.  
  24. Name/Company:        _______________________________________________
  25.  
  26. Address:             _______________________________________________
  27.  
  28.                      _______________________________________________
  29.  
  30. Country:             _______________________________________________
  31.  
  32. Telephone:           ____________________   Fax: ___________________
  33.  
  34. Email:               _______________________________________________
  35.  
  36.  
  37.  
  38. Pricing:
  39. ========
  40. 1                     US$ 20
  41. 2  - 10               US$ 15
  42. 11 and more           US$ 10
  43.  
  44.  
  45. # Copies                Price per copy                TOTAL amount
  46.  
  47. _____  GREPIT     x      US$  _____.--       =        US$  _____.--
  48.  
  49.  
  50.  
  51. Payment enclosed:
  52.  
  53. ( ) Postal money order
  54. ( ) EUROcheque # _____________ (in DM only please!)
  55.  
  56. ( ) (other) Cheque # _________________ (add US$ 15 bank fee)
  57. ( ) Cash - Certified Mail only! (US or German currency please!)
  58.  
  59. Please allow a max. of 4 weeks for delivery of your registration key.
  60.  
  61.  
  62. Date / Signature: ___________________________________________________
  63.  
  64.  
  65.  
  66.  
  67. This GREPIT version was obtained...
  68. ( ) from a BBS - name/phone #: ______________________________________
  69. ( ) from a shareware vendor - name/city: ____________________________
  70. ( ) other: __________________________________________________________
  71.  
  72. GREPIT was tried because...
  73. ( ) a report in: ____________________________________________________
  74. ( ) other: __________________________________________________________
  75.  
  76.  
  77.  
  78. Suggestions for future improvements/comments:
  79.  
  80. _____________________________________________________________________
  81.  
  82. _____________________________________________________________________
  83.  
  84. _____________________________________________________________________
  85.  
  86.  
  87. Thank you!
  88.