home *** CD-ROM | disk | FTP | other *** search
/ Chip 1997 March / CHIP Mart 1997.iso / SesProg / MLIBV22.ZIP / ORDER.FRM < prev    next >
Encoding:
Text File  |  1993-01-27  |  2.1 KB  |  61 lines
  1.                                                            #2.2R/290193
  2.  
  3.  
  4.                                   MLIB v2.2 
  5.  
  6.                             Registration/order form.
  7.         
  8.         MLIB, $20 US/$25 CDN per single copy...... Amount   Qty   Total
  9.  
  10.                                                    ______ x ___ = _____
  11.                                                
  12.         Please indicate disk preference:  5.25/360 ( )      3.5/720 ( )
  13.         
  14.         Payment MUST be in  the form of cheque  or money order.  All US 
  15.         dollar  cheques must be drawn on a US bank, and all  CDN dollar 
  16.         cheques must be drawn on a Canadian bank. There will be a delay 
  17.         in processing orders for a non-certified cheque clearance.
  18.         
  19.         Shipping to all destinations is free of charge.
  20.         
  21.         Send TOTAL amount in cheque or money order to:
  22.  
  23.                 TERRY VENN
  24.                 BOX 3A10
  25.                 D'ARCY SK CANADA
  26.                 S0L 0N0
  27.                                                                       
  28.         Please print.
  29.         
  30.         Name: _________________________________________________________
  31.  
  32.         Mailing address: ______________________________________________
  33.                                                                        
  34.         _______________________________________________________________
  35.  
  36.         _______________________________________________________________
  37.  
  38.         _______________________________________________________________
  39.  
  40.         
  41.         Please indicate where you obtained MLIB. If from a BBS please
  42.         fill in the form below.
  43.  
  44.         _______________________________________________________________
  45.  
  46.         
  47.         BBS name:______________________________________________________
  48.  
  49.         Telephone: (     )_____-_______ City:__________________________
  50.  
  51.  
  52.         Comments:______________________________________________________
  53.  
  54.         _______________________________________________________________
  55.         
  56.         Optional: 
  57.         
  58.         CPU:__________ MON/VGA:__________ O/S___________ RAM:__________
  59.  
  60.  
  61.