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Text File  |  1995-08-23  |  1.9 KB  |  63 lines
  1.  
  2.                                 DataEnter
  3.                               Michael Kocum
  4.                             Taborstrasse 27/23
  5.                               A-1020 Vienna
  6.                                  AUSTRIA
  7.                              Fax: +43/1/214 38 29
  8.                              CIS: 70143,1667
  9.                              MHS: Michael@Demk
  10.                         Internet: michael@demk.co.at
  11.  
  12.  
  13.                                     ORDER
  14.  
  15. Name ________________________________ Company ______________________________
  16.  
  17. Street _____________________________________________________________________
  18.  
  19. City ________________________________ State ______________ Zip _____________
  20.  
  21. Fax : ________________________
  22.  
  23. Email : ________________________
  24.  
  25.  
  26.  
  27.      Quantity                                Price      Extended
  28.  
  29.      ___ MailSend  v2.x                     $49.00      $ _______
  30.      ___ MailExtr  v2.x                     $99.00      $ _______
  31.      ___ PingPong  v2.x                     $99.00      $ _______
  32.      ___ MailPoll  v2.x                     $99.00      $ _______
  33.      ___ MailRed   v2.x                    $149.00      $ _______
  34.  
  35.      ___ MailFax   v2.x                    $249.00      $ _______
  36.      ___ FaxVia    v2.x  (access via)      $149.00      $ _______
  37.  
  38.      ___ Shipping via email                 free
  39.      ___ Shipping via mail                  $10.00      $ _______
  40.  
  41.  
  42.      EC clients add 20% sales tax if no VAT             $ _______
  43.  
  44.      VAT: _____________________________
  45.  
  46.                                                   Total $ _______
  47.  
  48.  
  49.     Visa: __   Amex: __   MasterCard/EuroCard: __   Diners: __
  50.  
  51.   Card #: ____________________ Expiration Date: ________
  52.  
  53.  
  54.   Signature__________________________________________________
  55.  
  56.  
  57.  
  58.  
  59. Please allow 2 weeks for shipping by mail.
  60. Prices are subject to change without notice.
  61. Software not returnable except for defective media exchange.
  62.  
  63.