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Text File  |  1995-06-26  |  2KB  |  33 lines
  1. NOTES D'HISTOIRE 
  2. ADAGIO - 71 avenue de Boufflers - 54000 NANCY
  3.  
  4. Pour commander votre version complète 
  5. utilisez le bon de commande ci-dessous
  6.  
  7. -------------------------------------------------------------------
  8. | BON DE COMMANDE - NOTES D'HISTOIRE - Version complète           |
  9. |                                                                 |
  10. | A retourner à: ADAGIO - 71 avenue de Boufflers - 54000 NANCY    |
  11. |                                         (ou par fax:83.95.19.58)|
  12. |                                                                 |
  13. | NOM:                                                            |
  14. |     ------------------------------------------------------------|
  15. | ADRESSE:                                                        |
  16. |         --------------------------------------------------------|
  17. |                                                                 |
  18. |         --------------------------------------------------------|
  19. |                                                                 |
  20. | Ci-joint un règlement de 290 francs TTC (port compris)          |
  21. |                                                                 |
  22. |-----------------------------------------------------------------|
  23. |Pour règlement par carte bleu:                                   |
  24. |                                                                 |
  25. |  No de carte:                                                   |
  26. |              ---------------------------------------------------|
  27. |                                                                 |
  28. |  Date d'expiration :     /       SIGNATURE:                     |
  29. |                      ---- ----                                  |
  30. |                                                                 |
  31. |                                                                 |
  32. -------------------------------------------------------------------
  33.