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ST-Computer Leser-CD: Millenium
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reg_wrld.frm
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1999-05-18
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2KB
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63 lines
Name :
Street :
Town :
Phone :
Fax :
E-mail :
SOFTBÄR GbR
H.J. Konzeck & S. Hartmann
Richardstr. 60
D-12055 Berlin-Neukölln
Germany
Dear Sir,
I would like to apply for the registration key of the programme
CoMa V x.xx
[ ] DM 69,- CoMa key
[ ] DM 119,- CoMa Voice key
[ ] DM 199,- CoMa Professional
[ ] DM 50,- Upgrade CoMa to Voice
[ ] DM 80,- Upgrade CoMa Voice to Professional
[ ] DM 30,- Update Key
I paid the amount of DM ___,- as follows:
[ ] cash in envelope
[ ] included as non-negotiable cheque
[ ] paid into the following account:
Account : H. J. Konzeck
Bank : Postbank Berlin
BLZ : 100 100 10
Account #: 1964-103
If you charge the money into our account, be aware
your remittance may take over 3 weeks.
[ ] with EUROCARD/MasterCard or VISA
Number:_____________________ Expiry date:___________
Signed:____________________________ Dated:___________
Please make sure, that your creditcard-information is transfered safely.
Computer: ________________ RAM: ______ MByte
Floppy(DD/HD/ED): ________ Harddisk: ______ MByte
Printer: _________________ Monitor : ____________
Modem: ___________________ Firmware: ____________
Yours sincerely