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Text File  |  1998-10-06  |  2.4 KB  |  69 lines
  1.  
  2.       Name:__________________________________
  3.  
  4.       Street, Nr.:___________________________
  5.  
  6.       ZIP/State:_____________________________
  7.  
  8.       City:__________________________________
  9.  
  10.       Country:_______________________________
  11.  
  12.       EMail:_________________________________
  13.       ____________________________________________________________
  14.           To:
  15.           Verlag Anja C. Frese                Fax: ++49 5722/90031
  16.           Wilhelm-Busch Str.18                EMail: cycas@core.de
  17.           D-31675   Bueckeburg
  18.           Germany
  19.       ____________________________________________________________
  20.  
  21.       ORDER:
  22.       I accept the delivery and payment conditions mentioned below
  23.       and order:
  24.  
  25.       Product:                              Quantity:       Price:
  26.  
  27.       CYCAS 1.78 with english HTML.guide    _________   * 169.-US$
  28.  
  29.       CYCAS 1.78 with english HTML.guide    _________   *  99.-UK£
  30.  
  31.       CYCAS 1.78 with english HTML.guide    _________   * 299.- DM
  32.  
  33.       Delivery via E-Mail                                    -
  34.  
  35.                on floppy disk via Snailmail             +   3.-US$
  36.  
  37.                                                         +   2.-UK£
  38.  
  39.                                                         +   5.- DM
  40.       ____________________________________________________________
  41.  
  42.                                                 Total:    _____US$
  43.  
  44.                                                           _____UK£
  45.  
  46.                                                           _____ DM
  47.  
  48.       Choose the payment method:
  49.       [ ] International money order (available at your postoffice)
  50.       [ ] Euro Cheque (in Europe)
  51.       [ ] Giro transfer (in Europe)
  52.  
  53.       Delivery and payment conditions:
  54.       Price:       incl. taxes.
  55.       Delivery:    via Deutsche Post AG / or E-Mail
  56.                    after  the  full amount was  received/cleared.
  57.       Reservation: All  products  remain unrestricted property of
  58.                    Verlag Anja C. Frese untill  complete payment.
  59.                    Exchange of software is impossible. Changes of
  60.                    the conditions reserved.
  61.  
  62.       If you accept this offer please fill out the quantity, your
  63.       name and address and send this oderform to us.
  64.       ___________________________________________________________
  65.  
  66.                            Verlag Anja C. Frese
  67.                            Giro transfer to: Volksbank Bueckeburg
  68.                            BLZ: 255 914 13 AccountNr.: 335 82 702
  69.