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Text File  |  1995-06-20  |  2KB  |  55 lines
  1.                       Order Form for agSI Version 1.1.1
  2.                     ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  3.  
  4.      (please fill in / check:)
  5.                                                prices each    prices total
  6.  
  7.      ___ x Licence for agSI                DM 20,- / $ 15 * ->  __ _____
  8.            (you will recieve a registration code)               ^ currency
  9.  
  10.      ___ x 3 1/2" Disk with latest version  DM  5,- / $ 4 * ->  __ _____
  11.            [ ] I want 5 1/4 " disk(s)
  12.            outside Europe additionally   1x DM  8,- / $ 6   ->  __ _____
  13.  
  14.      * For discounts on quantity orders, see README or online help!
  15.  
  16.      Payment/Shipping:
  17.      ( )   pre-paid (cash / cheque)                  --             --
  18.      ( )   C.O.D. (only inside Germany!)           DM  5,-  ->  __ _____
  19.      (No credit card orders as I have no way to handle them.)
  20.                                                              =============
  21.  
  22.      Total:  ------------------------------------------------>  __ _____
  23.  
  24.      [ ]  Please inform me about "major" upgrades...
  25.           [ ] via e-mail     [ ] via letter
  26.  
  27.      I got agSI from... __________________________________________________
  28.  
  29.      Comments: ___________________________________________________________
  30.  
  31.               ____________________________________________________________
  32.  
  33.      Name:    ____________________________________________________________
  34.      (Please state if you want a different name used for the reg' entry.)
  35.  
  36.      Company: ____________________________________________________________
  37.  
  38.      Address: ____________________________________________________________
  39.  
  40.               ____________________________________________________________
  41.  
  42.               ____________________________________________________________
  43.  
  44.      E-Mail:  ____________________________________________________________
  45.      (accessible from the Internet)
  46.  
  47.  
  48.      Date: __________________   Signature: _______________________________
  49.  
  50.  
  51.      Mail to:  Andreas Groegel           or (C.O.D. delivery) via
  52.                Gildenstr. 4              e-mail (Internet) to:
  53.                D-74074 Heilbronn           ag@studbox.uni-stuttgart.de
  54.                Germany
  55.