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Text File  |  1991-12-20  |  4KB  |  60 lines
  1.     +---------------------------------------------------------------+
  2.     I   Anmeldung fuer das Programm          HARRY'S QUIZ 1.1       I
  3.     I---------------------------------------------------------------I
  4.     I                                                               I
  5.     I                        +-------------+                        I
  6.     I   Registrationsnummer: I             I   (nicht ausfuellen!)  I
  7.     I                        +-------------+                        I
  8.     I                                                               I
  9.     I                                                               I
  10.     I +---------------------------------+                           I
  11.     I I                                 I   Ich bestelle die Voll-  I
  12.     I I                                 I   version des oben ange-  I
  13.     I I  An                             I   fuehrten Programms mit  I
  14.     I I  Harald Gutzelnig               I                           I
  15.     I I  Tobra 40                       I   O  700 Fragen zum       I
  16.     I I                                 I      Preis von DM 40,-    I
  17.     I I  A-4320  PERG                   I                           I
  18.     I I                                 I   O  1400 Fragen zum      I
  19.     I +---------------------------------+      Preis von DM 60,-    I
  20.     I                                                               I
  21.     I   Meine Anschrift:                                            I
  22.     I                                                               I
  23.     I   Name    :...............................                    I
  24.     I                                                               I
  25.     I   Vorname :...............................                    I
  26.     I                                                               I
  27.     I   Str.    :...............................                    I
  28.     I                                                               I
  29.     I   PLZ/Ort :.........................   Land: ...............  I
  30.     I                                                               I
  31.     I   Datum   :...........    Unterschrift: ....................  I
  32.     I                                                               I
  33.     I-----------------Bitte ebenfalls ausfuellen!-------------------I
  34.     I                                                               I
  35.     I   Diskettenformat: (bitte ankreuzen!)   O 5¼"      O 3½"      I
  36.     I                                                               I
  37.     I   Pruefversion bezogen bei: ................................  I
  38.     I                                                               I
  39.     I   Verbesserungsvorschlaege: ................................  I
  40.     I                                                               I
  41.     I   ..........................................................  I
  42.     I   Ich bin an weiteren Updates zum Preis von ca. DM 15,-       I
  43.     I   ( ) interessiert               ( ) nicht interessiert       I
  44.     I                                                               I
  45.     I   Ich bin an weiterer Quizfragen zu einem bestimmten Bereich  I
  46.     I                                                               I
  47.     I   ( ) interessiert und bitte um Zusen-                        I
  48.     I       dung weiterer Informationen.     Bereich: ............  I
  49.     I   ( ) nicht interessiert                                      I
  50.     I---------------------------------------------------------------I
  51.     I   Der Betrag von                                              I
  52.     I                        ...DM /  ...OeS/  ...sFR               I
  53.     I   ( ) ist beigelegt  (SCHECKS BITTE IN OES AUSSTELLEN!)       I
  54.     I   ( ) wurde auf das Konto 8262.510  der Oesterreichischen     I
  55.     I       Postsparkasse (BLZ 60000) ueberwiesen                   I
  56.     I       !! zuzueglich DM 3,- für anfallende Bankspesen !!       I
  57.     I   ( ) ich wuensche die Lieferung per Nachnahme                I
  58.     I       (zuzueglich  DM 8,- / OeS 30,- / sFR 6-)                I
  59.     +---------------------------------------------------------------+
  60.