home *** CD-ROM | disk | FTP | other *** search
/ Chip 1999 January / Chip_1999-01_cd.bin / zkuste / delphi / D1 / DTOOLS30.ZIP / ORDER.TXT < prev    next >
Text File  |  1996-04-28  |  2KB  |  65 lines
  1. DTOOLS ORDER FORM
  2.  
  3. Please mail this form to:
  4.  
  5. Tim Noonan
  6. 6501 Oakwood Drive
  7. Falls Church, VA 22041
  8. USA
  9.  
  10. Internet:       75212.664@compuserve.com
  11. CompuServe ID:  tnoonan@erols.com
  12.  
  13. Date: ________________________
  14.  
  15. Product                                  **Price (US) Qty Subtotal
  16. ------------------------------------------------------------------
  17.  
  18. DTools 3.0 Registration (no disks)          $ 50.00   ___ ________
  19.  
  20. DTools 3.0 Registration w/Source Code       $100.00   ___ ________
  21.            (one disk)
  22. ------------------------------------------------------------------
  23.  
  24. Shipping via E-Mail (per disk)              $  2.50   ___ ________
  25.  
  26. Shipping via Postal Mail (per disk)         $  5.00   ___ ________
  27.  
  28. ------------------------------------------------------------------
  29.  
  30. Total                                                   __________
  31.  
  32. ------------------------------------------------------------------
  33.  
  34. **All payments must be in US dollars.
  35.  
  36. SHIPPING DETAILS
  37.  
  38. Name:             __________________________________________________
  39.  
  40. Title/Department: __________________________________________________
  41.  
  42. Company:          __________________________________________________
  43.  
  44. Address:          __________________________________________________
  45.  
  46.                   __________________________________________________
  47.  
  48. City:             __________________________________________________
  49.  
  50. State/Province:   __________________________________________________
  51.  
  52. Post/ZIP Code:    __________________________________________________
  53.  
  54. Country:          __________________________________________________
  55.  
  56. Phone:            (________)________________________________________
  57.  
  58. Fax:              (________)________________________________________
  59.  
  60. CompuServe Mail:  __________________________________________________
  61.  
  62. Internet Mail:    __________________________________________________
  63.  
  64. Thank you for your order.
  65.