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Text File  |  1995-07-03  |  3KB  |  70 lines
  1.                     ---------------------------------
  2.                     Registration Form FeConv / FeKill
  3.                     ---------------------------------
  4.                CreditCard-Registration finally available !
  5.  
  6.  
  7.  
  8. FeConv/FeKill may be registered using this form worldwide. Please note, that,
  9. although prices are quoted in USD, they will be charged in ATS (Austrian Sch-
  10. illings) at the current exchange-rate, due to standard  contractual  restric-
  11. tions with the CC-companies. This order-form is valid until a new one is  re-
  12. leased.
  13.  
  14.  
  15. I herewith order Key(s) for FeConv / FeKill:
  16.  
  17.   Name         : ___________________________________________________________
  18.   Street       : ___________________________________________________________
  19.   Zip/Town     : ___________________________________________________________
  20.   State/Country: ___________________________________________________________
  21.   Tel.(voice)  : _________________ (for possible queries)
  22.  
  23.  
  24.   Nodenumber : __:____/____.____      [  ] FidoNet 
  25.   BBS-Name   : _____________________________________________________________
  26.                (if applicable)
  27.  
  28.  
  29.  
  30.     [  ] Key for FeConv                                : USD ___15.--
  31.     [  ] Key for FeKill                                : USD ___10.--
  32.     [  ] Key fuer FeConv und FeKill                    : USD ___20.--
  33.  
  34.     [  ] send Key per Crash (only FidoNet!)
  35.     [  ] send Key per 3,5 " disk                       : USD ____5.--
  36.                                                          ____________
  37.                                                  Total : USD      .--
  38.                                                          ============
  39.  
  40.  
  41. Please charge my:
  42.  
  43.  
  44.               ( ) VISA
  45.               ( ) EC/MC           Number  :  ____-____-____-____
  46.               ( ) AmEx            Bearer  :  __________________________
  47.               ( ) Diners          Ex. date:  __/__
  48.  
  49.  
  50.  
  51.  
  52.  
  53.    Please send this order-form to:    Herbert Riess jun.
  54.                                       Krieglergasse 2/19
  55.                                       A-1030 Vienna
  56.                                       Austria / EU
  57.  
  58.                                  bbs: 2:310/79    +43-1-718 6807   usr v.34
  59.                                       2:310/7979  +43-1-710 1062   ISDNC only!
  60.                               e-mail: hriess@ibm.net
  61.  
  62.                                  fax: +43-1-718 6807
  63.  
  64.  
  65.  
  66.                                             pls. sign here:
  67.  
  68.  
  69.        Date:  ___-___-19___                 _________________________
  70.