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Text File  |  1997-09-25  |  2KB  |  66 lines
  1.                   Order/Registration Form
  2.  
  3.  
  4. To:
  5.  
  6.     Dr. Gottfried Siehs
  7.     Tiergartenstrasse 99
  8.     A-6020 Innsbruck
  9.     Austria / Europe
  10.  
  11.  
  12.  
  13. I / We want to register the following program(s)
  14.  
  15. Name: _________________________________________________________
  16.  
  17. Company: ______________________________________________________
  18.  
  19. Address: ______________________________________________________
  20.  
  21. Town/City: ____________________________________________________
  22.  
  23. Country: ______________________________________________________
  24.  
  25. Post Code: ______________
  26.  
  27. Phone: __________________  FAX: ______________________
  28.  
  29. E-mail: ______________________________________________
  30.  
  31.  
  32.  
  33.  
  34. User name string for registration (max. 80 characters)
  35.   
  36. _______________________________________________________________
  37.  
  38.  
  39. Number of copies to register:
  40.                              HD95COPY 2.6    FAT32CP 1.6    HD95Protect 1.1
  41.  
  42.    ... single license(s)    --------------  --------------  ---------------
  43.  
  44.    ... network license(s)   --------------  --------------  ---------------
  45.  
  46.    ... site license(s)      --------------  --------------  ---------------
  47.  
  48. Total payment   : _________________________________________________________
  49. (For prices please have a look at HD95CP_E.TXT, F32CP_E.TXT and HD95PR_D.TXT)
  50.  
  51. via
  52. ( ) cheque
  53. ( ) sending cash (should only be sent by registered post)
  54. ( ) bank transfer to
  55.         Oesterreichische Postsparkasse, BLZ 60000
  56.     Kto-Nr 7786.901
  57.     (Dr. Gottfried Siehs)
  58.  
  59.  
  60. Just for my information: Where do you know the programs from?
  61.  
  62.    ..........................................................
  63.  
  64.  
  65. Thank you for registering!
  66.