Imië i nazwisko
Ulica
Kod Miasto
Poland
Phone: +48-kierunkowy-numertelefonu
Email: adres@mail.pl

[Aktualna data]


To:
W.F.M.H.
c/o Marcin Orlowski
ul. Radomska 38
71-002 Szczecin
Poland
Email: reg-pl@vapor.com


Registration
============

Product                           Quantity        Total
-----------------------------------------------------------
AmIRC                           SZT * @ 35.00  =  KWOTA ZL
AmigaNCP                        SZT * @ 50.00  =  KWOTA ZL
AmTALK                          SZT * @ 15.00  =  KWOTA ZL
Voyager 2.x                     SZT * @ 40.00  =  KWOTA ZL
AmFTP                           SZT * @ 30.00  =  KWOTA ZL
AmTelnet                        SZT * @ 25.00  =  KWOTA ZL
AmTerm                          SZT * @ 25.00  =  KWOTA ZL
AmTelnet/AmTerm                 SZT * @ 30.00  =  KWOTA ZL
WFMH LocalePL v2!               SZT * @ 13.00  =  KWOTA ZL
                                                 ==========
                                       Subtotal:  LACZNIE ZL
                                                 ==========
                  RAZEM_SZTUK units, discount -:  ZNIZKA ZL
                                                 ==========
                                    Total price:  RAZEM ZL


Shipping: via [SPOSOB_DOSTARCZENIA]

Uwagi:



I agree to the software license as presented by the registration program.



    -------------------------------           ---------------------------
                Data                                    Podpis