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/ PC World Komputer 1996 February / PCWK0296.iso / sharewar / dos / grafika / vide4dos / order.txt < prev    next >
Text File  |  1994-10-21  |  2KB  |  59 lines
  1.                       
  2.                       YES! I would like to purchase VFD.
  3.  
  4.    NAME:___________________________________________________________________  
  5.  
  6.    COMPANY:________________________________________________________________
  7.  
  8.    ADDRESS:________________________________________________________________
  9.  
  10.            ________________________________________________________________
  11.  
  12.    CITY:____________________________________ STATE:________________________
  13.  
  14.    POST CODE/ZIP:__________________ COUNTRY:_______________________________
  15.  
  16.    TELEPHONE:______________________________________________________________
  17.  
  18.    EMAIL ADDRESS __________________________________________________________
  19.  
  20.    Single-copy registration of VFD is UKP39.95 + VAT.  
  21.    Call for site licenses, educational and trade discounts.
  22.  
  23.    [ ] 5 1/4" diskette      [ ] 3 1/2" diskette
  24.  
  25.    ________ Copies     X    ___________ Unit Price  =    $________________
  26.  
  27.    Shipping & Handling (UKP2.50 UK, UKP5.00 Europe       $________________
  28.                         ROW Call)
  29.  
  30.                                              Total       $________________
  31.  
  32.    [ ] Check or money order payable to Digital Workshop in Pounds Sterling
  33.        and drawn on a UK bank.
  34.  
  35.    [ ] Access [ ] Master Card   [ ] VISA   [ ] American Express  [ ] Delta
  36.  
  37.    Card #_____________________________________ Expiration Date_____________
  38.  
  39.    Signature_______________________________________________________________
  40.  
  41.    Credit Card orders may be FAXed to +44 (1)295 254590 .
  42.  
  43.    Checks & POs to:  
  44.                             Digital Workshop
  45.                             First Floor
  46.                             8 West Bar
  47.                             BANBURY
  48.                             Oxon
  49.                             OX16 9RR
  50.                             England
  51.                             
  52.                             Tel: +44 (0)1295 258335
  53.                             Fax: +44 (0)1295 254590
  54.                             CIS: 74431,1160
  55.                        Internet: 74431.1160@compuserve.com
  56.     
  57.    rev 1.4
  58.    
  59.