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Text File  |  1992-10-28  |  4KB  |  53 lines
  1.       +-----------------------------------------------------------+
  2.       I   Anmeldung fuer "HARRY und WERNERs QUICKSTART"  V1.0     I
  3.       I-----------------------------------------------------------I
  4.       I                                                           I
  5.       I                                                           I
  6.       I   +---------------------------+                           I
  7.       I   I An                        I       nicht ausfuellen:   I
  8.       I   I Harald Gutzelnig          I         +-------------+   I
  9.       I   I Tobra 40                  I Reg.nr. I             I   I
  10.       I   I                           I         +-------------+   I
  11.       I   I A-4320 PERG               I                           |
  12.       I   I                           I                           I
  13.       I   +---------------------------+                           I
  14.       I                                                           I
  15.       I   Ich bestelle die Vollversion des oben genannten         I
  16.       I   Programms zum Preis von DM 49,-.                        I
  17.       I   Meine Anschrift:                                        I
  18.       I                                                           I
  19.       I   Name:    ....................                           I
  20.       I                                                           I
  21.       I   Vorname: ...................                            I
  22.       I                                                           I
  23.       I   Str.:    ....................                           I
  24.       I                                                           I
  25.       I   Postlz.: .....   Ort:    ....................           I
  26.       I                                                           I
  27.       I   Land:    ....................                           I
  28.       I                                                           I
  29.       I   Datum:   ...........    Unterschrift: ................  I
  30.       I-----------------------------------------------------------I
  31.       I              Bitte ebenfalls ausfuellen!                  I
  32.       I                                                           I
  33.       I   Diskettenformat: .......                                I
  34.       I                                                           I
  35.       I   Pruefversion bezogen bei: ...........................   I
  36.       I                                                           I
  37.       I   Verbesserungsvorschlaege: ...........................   I
  38.       I                                                           I
  39.       I   .....................................................   I
  40.       I-----------------------------------------------------------I
  41.       I   Der Betrag von                                          I
  42.       I                                                           I
  43.       I               49 DM /  339 OeS/  46 sFR                   I
  44.       I                                                           I
  45.       I   ( ) ist beigelegt  (SCHECKS BITTE IN OES AUSSTELLEN!!!) I
  46.       I                                                           I
  47.       I   ( ) wurde auf das Konto 8262.510 der oesterreichischen  I
  48.       I       Postsparkasse (BLZ 60000) ueberwiesen  (ZUZUEGLICH  I
  49.       I       DM 5,- bei Auslandsueberweisungen!!!!!!!!)          I
  50.       I                                                           I
  51.       I   ( ) ich wuensche die Lieferung per Nachnahme            I
  52.       I       (zuzueglich  DM 8,- / OeS 20,- / sFR 8,-)           I
  53.       +-----------------------------------------------------------+