home *** CD-ROM | disk | FTP | other *** search
/ OS/2 Professional / OS2PRO194.ISO / os2 / wps / file / pmdiff / order.frm < prev    next >
Encoding:
Text File  |  1994-01-26  |  1.1 KB  |  34 lines
  1. _______________________________________________________________________
  2. PMdiff ORDER FORM
  3.  
  4.  
  5. Name    _______________________________________________________________
  6.  
  7. Address    _______________________________________________________________
  8.  
  9. Country _________________________  Postcode/ZIP _______________________
  10.  
  11. E-mail (optional) _______________________  Internet [ ]  Compuserve [ ]
  12.  
  13. Where did you hear about PMdiff? ______________________________________
  14.  
  15. I wish to purchase _____ copy/copies of    PMdiff @ US$40 (#25 UK) each.
  16.  
  17. Shipping (check one):  [ ] E-mail (no additional charge)
  18.                        [ ] 1.44Mb UK residents (add #1 UK)
  19.                        [ ] 1.44Mb non-UK residents (add US$4 or #2 UK)
  20.  
  21. Total enclosed US$/UKP (delete as appropriate) ________________________
  22.  
  23. (Payment must be a UK cheque, a UK postal order, a Eurocheque or US$40)
  24.  
  25.  
  26. _______________________________________________________________________
  27. Mail to:  Daniel J Neades     or via Internet:  pmdiff@arac.demon.co.uk
  28.           27 Kennmoor Close
  29.       Warmley
  30.       Bristol BS15 5BD
  31.       England
  32.  
  33.                      *** Thank you for your order! ***
  34.