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/ Amiga Plus 1995 #2 / Amiga Plus CD - 1995 - No. 2.iso / pd / mui / mui-rechnung / registration < prev    next >
Text File  |  1995-04-11  |  4KB  |  60 lines
  1. +------------------------------------------------------------+
  2. |            MUI-Rechnung Registrierungsformular             |
  3. |                                                            |
  4. |                                                            |
  5. | (Firma)  : _______________________________________________ |
  6. |                                                            |
  7. | Name     : _______________________________________________ |
  8. |                                                            |
  9. | Adresse  : _______________________________________________ |
  10. |                                                            |
  11. |            _______________________________________________ |
  12. |                                                            |
  13. |            _______________________________________________ |
  14. |                                                            |
  15. |                                                            |
  16. | Woher haben Sie diese (Demo)-Version: ____________________ |
  17. |                                                            |
  18. | __________________________________________________________ |
  19. |                                                            |
  20. |                                                            |
  21. | Die Shareware-Gebühr über 50,-- DM                         |
  22. |                                                            |
  23. |   ___   zahle ich per Banküberweisung                      |
  24. |                                                            |
  25. |   ___   zahle ich in Bar (liegen dem Brief bei)            |
  26. |                                                            |
  27. |   ___   zahle ich per Eurocheque (liegt dem Brief bei)     |
  28. |                                                            |
  29. |                                                            |
  30. | Vorschläge und Wünsche: __________________________________ |
  31. |                                                            |
  32. | __________________________________________________________ |
  33. |                                                            |
  34. | __________________________________________________________ |
  35. |                                                            |
  36. | __________________________________________________________ |
  37. |                                                            |
  38. |                                                            |
  39. | gefundene Fehler: ________________________________________ |
  40. |                                                            |
  41. | __________________________________________________________ |
  42. |                                                            |
  43. | __________________________________________________________ |
  44. |                                                            |
  45. | __________________________________________________________ |
  46. |                                                            |
  47. | __________________________________________________________ |
  48. |                                                            |
  49. |                                                            |
  50. +------------------------------------------------------------+
  51. |                                                            |
  52. |   Anschrift:               Bankverbindung:                 |
  53. |                                                            |
  54. |   Stefan Scherer           Kreissparkasse Lichtenfels      |
  55. |   Abt-Wolf-Straße 17       BLZ 770 518 60                  |
  56. |   96215 Lichtenfels        Konto: 913 194                  |
  57. |   Deutschland                                              |
  58. |                                                            |
  59. +------------------------------------------------------------+
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