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/ PC World Komputer 1996 September / pcwk_09_96.iso / sharewar / win / rozne / ragnrock / register.txt < prev    next >
Text File  |  1995-07-07  |  2KB  |  44 lines
  1. PAYMENT IN UK STERLING (ú) ONLY. WE ALSO ACCEPT ACCESS, VISA, MASTERCARD,
  2. DELTA, AMERICAN EXPRESS, CHEQUES, PO'S OR CASH.
  3. PRICES INCLUDE VAT @ 17.5%
  4.  
  5. SPRINGFIELD PUBLISHING LTD                                TEL: 01352 770049
  6. SPRINGFIELD HOUSE                                         FAX: 01352 770816
  7. LLANFYNYDD                                       COMPUSERVE ID: 71154, 2620
  8. WREXHAM                                     INTERNET: Orders@Springsoft.com
  9. LL11 5HW
  10. UNITED KINGDOM
  11.  
  12. Name:           ___________________________________________________________
  13.  
  14. Company:        ___________________________________________________________
  15.  
  16. Address:        ___________________________________________________________
  17.     
  18.                 ___________________________________________________________
  19.  
  20. Postcode:       ________________   Telephone:  ____________________________
  21.  
  22. I ENCLOSE A CHEQUE / PO / CASH TO THE VALUE OF ú______._______ (STERLING)
  23. If payment is made by Cheque, please allow 28 days for delivery.
  24.  
  25. PLEASE DEBIT MY CREDIT CARD NO: ______/______/______/______  EXP: ____/____
  26.  
  27. NAME AS ON CARD: __________________________________________________________
  28.  
  29.  
  30. BILLING ADDRESS IF DIFFERENT TO ABOVE
  31.    ________________________________________________________________________
  32.  
  33.    ________________________________________________________________________
  34.  
  35.  
  36.                     Unit Cost   Quantity     Total                  
  37. Ragnar Rocks                ú14.99      ________    ú____.___
  38.  
  39. Shipping and Handling, to be added to all orders:
  40.                     UK        ú1.95    _________
  41.                     EU        ú3.00    _________
  42.                     World        ú4.00    _________
  43.  
  44.                     Total            ú____.___