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Text File  |  1996-02-14  |  3KB  |  83 lines
  1.     BM_BBAR order form - page 1
  2.     ===========================
  3.  
  4.     +---------------------------------------------+
  5.     !                                             !
  6.     !                                             !
  7.     !         Martin A. Rieth                     !    
  8.     !         Ruhstrathöhe 34                     !    
  9.     !         D - 37085 Göttingen                 !
  10.     !                                             !
  11.     !         Germany                             !
  12.     !         eMail: mrieth@uni-sw.gwdg.de        !
  13.     !                                             !
  14.     +---------------------------------------------+
  15.  
  16. _
  17.  
  18.     Send to:      Name/Company:        ___________________________ Student []
  19.     ========
  20.                   Address:             ______________________________________
  21.  
  22.                                        ______________________________________
  23.  
  24.                   Country:             ______________________________________
  25.  
  26.                   Telephone:           ________________ Fax: ________________
  27.  
  28.                   eMail:               ______________________________________
  29.  
  30.     # Copies (latest version)    [] 3.5" Disk   [] 5.25" Disk     Amount
  31.  
  32.     ___ BM_BBAR  .........................................      DM _____.-
  33.  
  34.     ___ Flying Macrobar  .................................      DM _____.-
  35.  
  36.     ___ Taskmanager  .....................................      DM _____.-
  37.  
  38.     for packing and posting etc.:
  39.     Germany: +DM 10.-   Europe: +DM 15.-  World: +DM 20.-       DM _____.-
  40.  
  41.                                                                 ==========
  42.                         
  43.  
  44.                                                           TOTAL DM _____.-
  45.     Payment enclosed:
  46.  
  47.     ( ) EUROcheque # _____________ (in DM only please!)
  48.     ( ) Cash (German, Swiss, French, Austrian, UK and US currency)
  49.     ( ) Postal money order
  50.     
  51.     or 
  52.  
  53.     ( ) payed via Sparkasse Göttingen
  54.         BLZ.: 260 500 01     Ktn Nr.: 106 846 785
  55.  
  56.     Date/Signature: _________________________________________________________
  57.  
  58.  
  59. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
  60.  
  61.     BM_BBAR order form - page 2 
  62.     ===========================
  63.  
  64.  
  65.     This version was obtained...
  66.  
  67.     ( ) from Internet: ______________________________________________________
  68.     ( ) from a BBS - name/phone #: __________________________________________
  69.     ( ) from a shareware vendor - name/city: ________________________________
  70.     ( ) _____________________________________________________________________
  71.  
  72.     BM_BBAR was tried because of...
  73.  
  74.     ( ) a report in: ________________________________________________________
  75.     ( ) _____________________________________________________________________
  76.  
  77.  
  78.     Suggestions for future improvement/Comments:
  79.  
  80.     _________________________________________________________________________
  81.  
  82.     _________________________________________________________________________
  83.