home *** CD-ROM | disk | FTP | other *** search
/ OS/2 Professional / OS2PRO194.ISO / os2 / driver / cdrom / cdu800 / register.frm < prev   
Encoding:
Text File  |  1993-12-26  |  2.0 KB  |  58 lines
  1.  
  2.  
  3.     CDU8002.FLT order form                                           0.99
  4.     ======================
  5.  
  6.  
  7.     +---------------------------------------------+
  8.     !                                             !
  9.     !                                             !
  10.     !         Robert Muchsel                      !    VAT ID:
  11.     !         Hegaublick 2                        !    DE142280494
  12.     !         D - 78465 Konstanz                  !
  13.     !                                             !
  14.     !         Germany                             !
  15.     !                                             !
  16.     +---------------------------------------------+
  17.  
  18.     CNG-FAX: +49-7533-3151
  19.  
  20.  
  21.     Send to:      Name/Company:        ______________________________________
  22.     ========
  23.                   Address:             ______________________________________
  24.  
  25.                                        ______________________________________
  26.  
  27.                   Country:             ______________________________________
  28.  
  29.                   Telephone:           ________________ Fax: ________________
  30.  
  31.                   Email:               ______________________________________
  32.  
  33.     # Copies                                                      Amount
  34.  
  35.     ___ CDU8002.FLT audio filter driver (8.89cm/3.5" disk)
  36.         Germany: DM 15  World: US $10                              _____
  37.  
  38.     Shipping
  39.         Germany: DM 5  World: US $5                                _____
  40.  
  41.     Additional contributions welcome!                           ==========
  42.  
  43.                                                           TOTAL    _____
  44.     Payment enclosed:
  45.  
  46.     ( ) Europe only: Eurocheque # _____________ (in DM only please!)
  47.  
  48.     ( ) (other) Check # _________________ (add DM 10/US $5 bank fee!)
  49.  
  50.     ( ) Cash (German, Swiss, French, Austrian, British and US currency)
  51.  
  52.     Please allow a maximum of 4 weeks for delivery.
  53.  
  54.     Date/Signature: _________________________________________________________
  55.  
  56.     Comments:
  57.  
  58.