Please e-mail this to Stefan Cordes
  Compuserve: 100331,3700
  Internet: 100331.3700@compuserve.com

OR

Mail to
Albert und Stefan Cordes GbR
Am Kockshof 24
40882 Ratingen
Tel.: 02102/50290

OR

Register via CompuServe: GO SWREG, Registration ID: 4529

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Registration form: IrqShow (DOS) (newest Version)

I want to pay:  US Dollar ($)

Please change following table, if you want another amount 
or shipping method.

Amount  What                   one piece   total
  1     IRQSHOW (DOS)            $ 10       $ 10
  1     Shipping (mark with X)
          ( ) e-mail             $  1       $  1
          (X) 3 1/2" disk        $  5       $  5
          ( ) 5 1/4" disk        $ 10       $ 10
                                         -------
                      Total:                $ 15


Name:
Adress:
City:
Tel:

Pay methode: (please mark with X)

( ) I pay with Credit Card:

     Card: ( ) VISA / ( ) Mastercard / ( ) American Express
     Name on card:
     Card Number:
     Valid until:

( ) I transfer the money to your BANK:
        Stefan Cordes
        Sparkasse Ratingen (BLZ 301 516 60)
        Account: 963 363

Your sign:

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