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  1. Please raise this form and send to:
  2. post adress: DuÜan Barilla ml.
  3.          Zimnß 39
  4.          059 01 SpiÜskß Belß
  5. e-mail: psoft@post.sk
  6.  
  7.  
  8. number of bank account: 0491256448/0900
  9.  
  10. webpage: http://professor.szm.sk
  11. ----------------------------------------------------------------------
  12. Name and surrname: ........................
  13. Street: ........................
  14. Town: ........................
  15. Zip code:   ................
  16. Country:  ........................
  17.  
  18. Phone :   ........................
  19. e-mail : ........................
  20.