home *** CD-ROM | disk | FTP | other *** search
/ MacWorld 1999 May / Macworld (1999-05).dmg / Shareware World / Utilities / Business / Scorpion BarCode 1.50 / Purchase Form (.png) < prev    next >
Macintosh Picture Format  |  1999-03-04  |  12.0 KB  |  540x700  |  1-bit (2 colors)  |  [PICT/ttxt]
   ocr: PAI YMENT FORM Please Send To: Scorpion Research Limited chislenurst Business Centre 1 Bromley Lane chislenurst Fax: 07050-030291 Kent BR7 6LH England Int: *44-/050-030291 LUSTURER DETAILS Name: Building: Street: City: County/state: Code/zip: Country: Telephone: Fax: eMail: PURLHASE ITETS Quantity: Description: Price: Value: VAT: Scorpion BarCode SortwateK£99.00 ECResidents PleaseAdd 17.5% VAT Total: Exemption Criteria subjectTOAcceptapce BYHM Customs & Excise Total Inc VAT: PAYMENT HETHUD Please Specify A Payment Method: Cash Cheque Money Order Credit Card For Card Payments Please Specify: Sw ...