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Text File  |  1996-02-07  |  1.7 KB  |  49 lines
  1.  
  2.  
  3.                                ORDER FORM
  4.                                ──────────
  5.  
  6. ┌──────┬───────────────────────────┬──────────┬─────────────┬──────────────┐
  7. │Quant.│ Description/License       │ Article  │ Price in DM │ Price in DM  │
  8. │      │                           │ number   │  w/o  VAT   │  incl. VAT   │
  9. ├──────┼───────────────────────────┼──────────┼─────────────┼──────────────┤
  10. │      │ C-Scout V2.10             │ AP95003  │    259.--   │   298.--     │
  11. │      │ SeeDump V1.00             │ AP95002  │    780.--   │   897.--     │
  12. │      │ SeeDump                   │          │             │              │
  13. │      │ 1,000  Runtime-licenses   │ AP950021 │   1000.--   │  1150.--     │
  14. │      │ SeeDump                   │          │             │              │
  15. │      │ 10,000 Runtime-licenses   │ AP950022 │  8,000.--   │ 9,200.--     │
  16. │      │ SeeDump                   │          │             │              │
  17. │      │ > 10,000 Runtime-licenses │ AP950023 │  please     │              │
  18. │      │ or site license           │          │   call      │              │
  19. └──────┴───────────────────────────┴──────────┴─────────────┴──────────────┘
  20.  
  21. Please send:
  22.  
  23. (_)   Cash in advance (Eurocheck)
  24.  
  25. (_)   EuroCard  (_)   VISAcard        Cardnumber: ______________________
  26.                                       Expiry    : ______________________
  27.                                       Name      : ______________________
  28.  
  29.  
  30. ______________________________________        _________________________
  31. Signature                                     Date
  32.  
  33.  
  34.  
  35. SENDER
  36.  
  37. Company Name
  38.  
  39. Department
  40. Surname
  41. First Name(s)
  42.  
  43. street
  44.  
  45. Post-Code, City
  46. Phone
  47. Fax
  48. Customer no. (if known)
  49.