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Text File  |  1993-03-04  |  4KB  |  60 lines
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  2.         REGISTRIERUNG FÜR DAS SHAREWAREPROGRAMM VideoPro III VERSION 2.10
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  4.                            Telefon: 0421-21 73 34                        
  5.                            Telefax: 0421-300 8192                        
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  15.         Bernd Rickers                                                    
  16.         Thomas-Mann-Str. 29                                              
  17.         DW-2800 Bremen 1                                                 
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  27.         Ihre Anschrift:                                                  
  28.            Vorname, Name..:___________________________________________   
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  30.            Anschrift......:___________________________________________   
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  32.            PLZ, Ort.......:___________________________________________   
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  37.         Die Registriergebühr von DM 79,- zahle ich wie folgt:            
  38.                                                                          
  39.           < >  als EC- oder Verrechnungsscheck ( liegt bei )             
  40.                                                                          
  41.           < >  als Überweisung                                           
  42.                PGiroA Hamburg, BLZ 200 100 20, Kto-Nr.: 13 48 74-207     
  43.                Bitte  die  Adresse  auf der Überweisung eintragen, da    
  44.                sie  üblicherweise  auf  den  vorgedruckten Formularen    
  45.                nicht enthalten ist.                                      
  46.                                                                          
  47.           < >  Bitte senden Sie mir VideoPro per Nachname,               
  48.                plus DM 10,- Versandkostenanteil (nicht ins Ausland)      
  49.                                                                          
  50.           < >  als 5,25" Diskette                                        
  51.           < >  als 3,5"  Diskette                                        
  52.                                                                          
  53.             Ohne Angabe erfolgt die Auslieferung auf 3,5"-Diskette!      
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  56.         Ort, Datum..:_________________________________________________   
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  59.         Unterschrift:_________________________________________________   
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