


    CD Player order form
    ====================



    +---------------------------------------------+
    !                                             !
    !                                             !
    !         Michael Bock                        !
    !         Weichselstr. 13                     !
    !                                             !
    !         12045 Berlin                        !
    !                                             !
    !         Germany                             !
    !                                             !
    !                                             !
    +---------------------------------------------+

    Send to:      Name/Company:     _______________________________________
    ========
                  Address:          _______________________________________

                                    _______________________________________

                  Country:          _______________________________________

                  Telephone:        _______________  Fax:  ________________

                  Email:            _______________________________________

                  Compuserve:       _______________________________________

    # Copies                                                        Amount

    ____ CD Player for OS/2 registration
         Germany: DM 30,-  Europe: DM 35,-  World: DM 50,-      = DM _____,-

    ____ Postal shipment fee
         DM 10,-                                                = DM _____,-

                                                                ===========

                                                            TOTAL DM _____,-
    Payment enclosed:

    (  ) Eurocheque # _____________ (in DM only please!)

    (  ) Bank notes (German, Swiss, French, Austrian, British and US currency)

    Shipment method:

    (  ) Postal shipment (additional fee required)

    (  ) EMail  (  ) Compuserve

    Please allow a maximum of 6 weeks for delivery.

    Date/Signature: _________________________________________________________


    CD Player order form - page 2


    This CD Player version was obtained...

    ( ) from a BBS - name/phone #: __________________________________________

    ( ) from a shareware CD: ________________________________________________

    ( ) by anonymous FTP, site: _____________________________________________

    ( ) from a shareware vendor - name/city: ________________________________

    ( ) _____________________________________________________________________

    CD Player was tried because of...

    ( ) a report in: ________________________________________________________

    ( ) _____________________________________________________________________


    Suggestions for future improvements:

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________


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