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Text File  |  1995-05-07  |  1.2 KB  |  44 lines
  1.  
  2.                      L E A R N   A   L A N G U A G E
  3.                      -------------------------------
  4.  
  5.                                 Order form
  6.  
  7.  
  8.  Name:    ______________________________________________________________
  9.  
  10.  Street:  ______________________________________________________________
  11.  
  12.  City:    ______________________________________________________________
  13.  
  14.  Country: ______________________________________________________________
  15.  
  16.  Phone:   ______________________________________________________________
  17.  
  18.  Fax:     ______________________________________________________________
  19.  
  20.  E-Mail:  ______________________________________________________________
  21.  
  22.  Computer/operating system/memory: _____________________________________
  23.  
  24.  _______________________________________________________________________
  25.  
  26.  
  27.  I am sending the price for the original pack:
  28.  
  29.  
  30.      ( )  in bills with this letter
  31.  
  32.      ( )  via bank transfer to the account standing below
  33.  
  34.  
  35.  
  36.  
  37.                  __________________________________________
  38.                               Date, Signatur
  39.  
  40.  
  41.                      bank: Sparkasse SüW Landau, Germany
  42.                           routing symbol: 548 500 10
  43.                          account number: 13 5050 987
  44.