Please fill out and 
   e-mail to tm at tm dot oneiros dot de 
   or send to  TeX Merchandising Project
               c/o Martin Schr"oder
               Crüsemannallee 3
               28213 Bremen
               Germany

                                  Orderform
                                  ---------

I herewith order from the TeX Merchandising Project

Quantity    Item                                     Price/Item   Price

________    TeX pin                                    1,00 EUR  ________ EUR

________    TeX tie clip                               3,50 EUR  ________ EUR

________    TeX key pendant                            3,50 EUR  ________ EUR

                                                            Sum  ________ EUR

Shipping:
- Germany 1,75 EUR, EU 4,25 EUR, 
  Rest of the world: 6,25 EUR (economy) 8,50 EUR (air)
- Insurance: 2.00R                                               ________ EUR

Payment:
[ ] with invoice (Germany only, not first time customers)
    Your customer number: _______
[ ] money transfer to Martin Schr"oder 
    (all fees payed by sender) in advance 
    (account 11086634 at Sparkasse Bremen [BLZ 290 501 01];
     IBAN: DE28 2905 0101 0011 0866 34, BIC: SBREDE22)
[ ] by using PayPal (https://www.paypal.com)
    Here you can pay with credit cards. Please await our invoice!
    Your PayPal ID: _______________@___________________
[ ] cash included
[ ] cheque payable to Martin Schr"oder 
    (all fees payed by sender) included
[ ] money order to Martin Schr"oder (all fees payed by sender) 
[ ] cash on delivery (Germany: 4,50 EUR, Rest: 16,50 EUR)      __________ EUR
                                                               ==========

                                                          Sum  __________ EUR

Ship to
Name:    ____________________________________________________________

Street/Number:  _____________________________________________________

City:    ____________________________________________________________

Zip:     ____________________________________________________________

Country: ____________________________________________________________

E-Mail:  _____________________@______________________________________


Date:      __________________________________________________________

Signature: __________________________________________________________

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