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Text File  |  1995-02-14  |  3KB  |  76 lines
  1. Order form for Alchemy Mindworks' shareware: [ ] 5 1/4 [ ] 3 1/2 inch disks
  2.  
  3. Name (yours) _________________________________________________________
  4.  
  5. Address (likewise, yours) ____________________________________________
  6.  
  7. ______________________________________________________________________
  8.  
  9. City/town ____________________________________________________________
  10.  
  11. Province/state _______________________Post/zip code __________________
  12.  
  13. Country ______________________________________________________________
  14.  
  15. Daytime phone number _________________________________________________
  16.  
  17. FAX number ___________________________________________________________
  18.  
  19. Computer used (no idea why we want to know this) _____________________
  20.  
  21. Payment: [ ] Plastic (see below)        [ ] Cheque
  22.          [ ] Cash (take your chances)   [ ] Other (no chickens, POs
  23.                                                    or CODs please)
  24.  
  25. I'd like to order the following Alchemy Mindworks shareware:
  26.  
  27. [ ] Graphic Workshop for DOS                                 $40.00
  28. [ ] Graphic Workshop for Windows                             $40.00
  29. [ ] GrafCat                                                  $40.00
  30. [ ] Desktop Paint (monochrome)                               $40.00
  31. [ ] Desktop Paint 16                                         $40.00
  32. [ ] Desktop Paint 256                                        $40.00
  33. [ ] Image Gallery                                            $40.00
  34. [ ] QuickShow Light for Windows                              $40.00
  35. [ ] QuickShow Light for Windows                              BOOKWARE
  36. [ ] Pagan Daybook for DOS and Windows                        BOOKWARE
  37. [ ] Multimedia Workshop Light for Windows                    BOOKWARE
  38. [ ] The Order (NOVEL), by Steven William Rimmer
  39.       plus shipping - $2.50 Canada, $3.00 US, $4.50 Int'l    $ 6.99
  40. [ ] Eval disks (shareware versions of all our applications)  $10.00
  41. [ ] Graphics and Sound CD-ROM volume 1                       $30.00
  42. [ ] Graphics and Sound CD-ROM volume 1 special offer         $40.00
  43. [ ] Other
  44. _______________________________________________________________________
  45.  
  46. Shipping and handling (Not applicable to books or bookware)   $5.00
  47.  
  48. Canadian residents please add GST (it wasn't our idea)    _____________
  49.  
  50. TOTAL                                                     _____________
  51.  
  52. If you're ordering from outside Canada, please make your payment in US
  53. dollars. The exchange more or less covers the extra postage.
  54.  
  55. _______________________________________________________________________
  56.  
  57. Payment by credit card:
  58.  
  59. We can only accept American Express, Mastercard or Visa cards (no
  60. Discover cards, please.) We will need the following information:
  61.  
  62. Credit card number: ___________________________________________________
  63.  
  64. Expiry date:___________________________________________________________
  65.  
  66. The name as it appears on the card: ___________________________________
  67.  
  68. The signature of its owner authorizing us
  69. to debit it for the amount indicated above: ___________________________
  70.  
  71. _______________________________________________________________________
  72.  
  73. Mail this form to:    Alchemy Mindworks Inc., P.O. Box 500, Beeton,
  74.               Ontario L0G 1A0, Canada. If you're paying by
  75.               credit card, you can FAX it to (905) 936-9502.
  76.