Payment by credit card for shareware
                                  "EpsonShare"
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            Postal courier                 |              Fax
                                           |
          Send this form to:               |         Send this form to:
               S.E.S                       |
         1, rue de stockholm               |     From France: 02 31 14 90 18
            75008. Paris                   |    From Foreign: +33 2 3114 9018 
               FRANCE                      |
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 Pricing  
 
 SPECIAL OFFER UNTIL 04/30/1999
 
 The server price varies by the number of clients you want to serve.
 
                        Number      French 
                      of Clients    Francs       Euros     $USD
                                                   
                           1         115          18       19
                           3         185          27       29
                           5         235          37       39
                          10         350          56       59
                          20         475          75       79
                          50         595          94       99
                
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 Your order
       
 Currency
   If you reside in France, thank you to pay in French Francs. Euros only for
   countries of the European community. Dollars US for all other countries.
        

        Clients           Product            Price and Currency  

          ...           EpsonShare           ..................
 
                           Total             ..................
 
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            Your name: ...............................................
          Your e-mail: ...............................................
              Address: ...............................................
                       ...............................................
            City/Etat: ...............................................
      Postal Code/Zip: ..................../..........................
              Country: ...............................................
           Fax number: ...............................................
        
    Credit card type  (Visa,American Express ou Eurocard/Mastercard):
              
              ...............................................
              
                      
    Your credit card number: ...................................
    
                Expiry date: ...................................
              
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 Authorization
    
             I authorize S.E.S to charge my credit card for
                       (Amount and Currency)
                        
                 ......................................
                        
                        
                             signature:
                        


 
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