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Text File  |  1993-02-03  |  3KB  |  62 lines
  1.  
  2.            Name   : .........................................
  3.            
  4.            Vorname: .........................................
  5.            
  6.            Strasse: .........................................
  7.            
  8.            PLZ    : ....  Ort: ..............................
  9.            
  10.            Land   : .........................................
  11.            
  12.            
  13.  
  14.             Kurt Laux
  15.             Softwareentwicklung und Vertrieb
  16.             LX-Software
  17.             Speiserstr.22
  18.  
  19.             6920 Sinsheim
  20.  
  21.  
  22.  
  23.            Hiermit bestelle ich die aktuelle Vollversion des Porgramms
  24.            
  25.                                 LXBENZIN
  26.            zum Preis von 30,-DM.
  27.            
  28.            Ich erhalte dafür:
  29.            
  30.            - Das Programm LXBENZIN mit den dazugehörigen Dateien
  31.            - Das Recht auf verbilligte Updateversionen (20% Rabatt)
  32.            - Hilfestellung bei Problemen                                    
  33.      
  34.                                                                             
  35.            Ich benötige folgendes Diskettenformat:                          
  36.                                                                             
  37.            ( ) 5,25" - Diskette          ( ) 3,5" - Diskette                
  38.     
  39.                                                                             
  40.            Die Shareware-Version habe ich von folgendem Händler bezogen:    
  41.                                                                             
  42.            .....................................................            
  43.                                                                             
  44.                                                                             
  45.            Bezahlung: ( ) Überweisung: ( ) Konto 293105      BLZ 67291900   
  46.                                            Volksbank Sinsheim               
  47.                                                                             
  48.                                        ( ) Konto 301505-756  BLZ 66010075   
  49.                                            Postgiroamt Karlsruhe            
  50.                                                                             
  51.                       ( ) in Bar beigelegt.                                  
  52.                                                                             
  53.                       ( ) als Verrechnungsscheck beigelegt.                 
  54.                                                                             
  55.                       ( ) per  Postnachnahme (+ 6,-DM Porto Inland)         
  56.                                              (+10,-DM Porto Ausland)        
  57.      
  58.      
  59.  
  60.              Datum                             Unterschrift                
  61.  
  62.