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EUROTRADE
COMPUTER & COMMUNICATION MAGAZINE
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NEW SUBSCRIPTION or
RENEWAL; INVOICE NO.
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PLEASE
COMPLETE THIS FORM AS FULLY AS POSSIBLE WITH BLOCK
LETTERS
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| A.
SUBSCRIBER INFORMATION |
| Company
Name:
Dept.:
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| Address:
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| City:
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| Zip
Code:
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| Country:
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| Title:
Dr.
Mr.
Mrs.
Miss
Ms. |
| Name:
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| Job
Title:
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| URL:
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E-Mail:
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| Tel.:
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| Fax:
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| Business
type:
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| Yearly
sales(US$)
No. of employees
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| Importing
PC and/or network related products from:
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| I
would like to contact suppliers of the following products: |
| 1.
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| 2.
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| 3.
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| B.
SUBSCRIPTION PRICE |
Note:The
preferred method of payment is in Euros |
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| C.
METHOD OF PAYMENT |
Cheque -- on a principal bank only
Credit card - Complete this section, sign and fax back
credit card details
Card Company
Visa
Amex
Diners Club
Master/Eurocard
Card nember
Valid until
Cardholder's name
Signature
Bank Transfer
A/C Name: Jam International B.V.
A/C number: 52.79.06.751
Bank Name: ABN-AMRO-Bank
Bank address: Wall 15, 5611 GE Eindhoven, The Netherlands
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| D.
INVOICE |
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No need
Send to me
Send to company, for the attention of:
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Should
correspond with subscriber address; if not, give cardholder
address as well:
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JAM Int. B.V.
PO BOX 46, 5580 AA WAALRE, THE NETHERLANDS
FAX: 31-402 233 639 / E-mail: henk@etmag.com
Subscribe On-Line: www.etmag.com/subscribe
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