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/ Best of German Only 2 / romside_best_of_german_only_2.iso / dos / anwender / kuvert / bestell.txt next >
Text File  |  1994-02-09  |  4KB  |  53 lines
  1.  
  2.  
  3.  
  4.          ┌───────────────────────────────────────────────────────────┐
  5.          │      Registrierung/Bestellung für KUVERT Version 1.0      │
  6.          ├───────────────────────────────────────────────────────────┤
  7.          │            Ich bestelle Kuvert - Version  1.0             │
  8.          │                                                           │
  9.          │                                                           │
  10.          │    ( )  5 1/4 Zoll 1 Disketten              20.00 DM      │
  11.          │                                                           │
  12.          │    ( )  3 1/2 Zoll 1 Diskette               20.00 DM      │
  13.          │                                                           │
  14.          │         Porto und Verpackung                 4.00 DM      │
  15.          │                                                           │
  16.          ├───────────────────────────────────────────────────────────┤
  17.          │                                                           │
  18.          │   Name:    ...................                            │
  19.          │                                                           │
  20.          │   Vorname: ...................                            │
  21.          │                                                           │
  22.          │   Straße:  ...................                            │
  23.          │                                                           │
  24.          │   PLZ:     .....           Ort:    ....................   │
  25.          │                                                           │
  26.          │   Land:    ..............  Tel.:   ....................   │
  27.          │                                                           │
  28.          │   Datum:   .......       Unterschrift:.................   │
  29.          ├───────────────────────────────────────────────────────────┤
  30.          │   Ich habe die Prüfversion erhalten von:                  │
  31.          │                                                           │
  32.          │   .....................................................   │
  33.          │                                                           │
  34.          │                                                           │
  35.          │   Ich bin an weiteren Updates zum Preis von je DM  5,-    │
  36.          │                                                           │
  37.          │   ( ) interessiert             ( ) nicht interessiert     │
  38.          ├───────────────────────┬───────────────────────────────────┤
  39.          │   senden an:          │   Der Betrag von                  │
  40.          │                       │                                   │
  41.          │                       │        _____ DM                   │
  42.          │                       │                                   │
  43.          │   Holger Geissler     │   ( ) liegt als Scheck bei        │
  44.          │   Fischerstr. 153     │                                   │
  45.          │   66763 Dillingen     │   ( ) liegt bar diesem Schreiben  │
  46.          │                       │       bei                         │
  47.          │                       │                                   │
  48.          │                       │   ( ) ist überwiesen auf          │
  49.          │                       │       Konto Nr. 376 94 666        │
  50.          │                       │       Postgiroamt Saarbrücken     │
  51.          │                       │       BLZ: 590 100 66             │
  52.          └───────────────────────┴───────────────────────────────────┘ 
  53.