GREPIT Order Form                                                2.10
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    +---------------------------------------------+
    |                                             |
    |         MicroService                        |
    |         Hermann Wierl                       |
    |         Bahnhofstrasse 8                    |
    |         93336 Altmannstein                  |
    |                                             |
    |         Germany                             |
    |                                             |
    +---------------------------------------------+

    FAX: +49-9446-2149



Send to:      
========

Name/Company:        _______________________________________________

Address:             _______________________________________________

                     _______________________________________________

Country:             _______________________________________________

Telephone:           ____________________   Fax: ___________________

Email:               _______________________________________________



Pricing:
========
1                     US$ 20
2  - 10               US$ 15
11 and more           US$ 10


# Copies                Price per copy                TOTAL amount

_____  GREPIT     x      US$  _____.--       =        US$  _____.--



Payment enclosed:

( ) Postal money order
( ) EUROcheque # _____________ (in DM only please!)

( ) (other) Cheque # _________________ (add US$ 15 bank fee)
( ) Cash - Certified Mail only! (US or German currency please!)

Please allow a max. of 4 weeks for delivery of your registration key.


Date / Signature: ___________________________________________________




This GREPIT version was obtained...
( ) from a BBS - name/phone #: ______________________________________
( ) from a shareware vendor - name/city: ____________________________
( ) other: __________________________________________________________

GREPIT was tried because...
( ) a report in: ____________________________________________________
( ) other: __________________________________________________________



Suggestions for future improvements/comments:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________


Thank you!