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Text File  |  1999-04-01  |  3KB  |  59 lines
  1. Media Lab, Inc., 31 S. 80th Street, Boulder, CO 80303
  2. 800-282-5361 (voice)
  3. 303-499-5411 (international voice)
  4. 303-497-9454 (FAX)
  5. http://www.medialab.com
  6. mailto: xtra-sales@medialab.com
  7. ftp: ftp.medialab.com
  8.  
  9.                             
  10. Ship To Address:                        Today's Date: ____/____/_____   
  11. Name: _________________________________________________________________
  12. Company: ______________________________________________________________
  13. Address:_______________________________________________________________
  14. City:_____________  State:____ Country:______ Zip/Postal Code: ________
  15. Phone: (   ) ____________________________
  16. Fax:   (   ) ____________________________
  17. E-Mail Address: __________________________________ (REQUIRED)
  18. How did you hear about Media Lab Xtras?________________________________
  19.  
  20.   ******   IMPORTANT  ********          
  21.     Last 10 Digits of Director S/N:____________-_____________ 
  22.  
  23.     Director version 5 __ 6 __ 7 __ (check one)
  24.  
  25. Product          Download   Packaged  Quantity    Platform   Ext. Price  
  26.                   Price       Price   (Mac/Win)
  27.  
  28. AlphaMania         $249       $299     ______     ______      _______
  29. PhotoCaster        $169       $199     ______     ______      _______
  30. Effector Set Vol I $ 99       $129     ______     ______      _______
  31. Effector Set Vol II$ 99       $129     ______     ______      _______
  32.  
  33. ******BUNDLES****** (Bundles must be for the same platform)
  34.  
  35. AM/PC/ES1/ES2   $349        $399    ______        ______       ________
  36. AM/ES1/ES2      $299        $349    ______        ______       ________
  37. AM/PC           $299        $349    ______        ______       ________ 
  38. ES1/ES2         $169        $199    ______        ______       ________
  39.  
  40. ****UPGRADES******
  41. PC 2 Upgrade     $ 69       N/A     ______        ______       ________
  42. AM 2 Upgrade     $ 99       N/A     ______        ______       ________
  43. AM 2 Upg w/ES1&2 $199       N/A     ______        ______       ________
  44. ES1 Upg to ES2   $ 69       N/A     ______        ______       ________
  45.  
  46.                                     Subtotal:                  ________
  47.                                                 Shipping:      ________
  48.  
  49.                                         Total : US$            ________
  50.                          
  51. Shipping Charges  (Per Packaged Version) US $15  International $50    
  52. ------------------------------------------------------------------------
  53. Mastercard __    Visa __   AMEX __    (Sorry, no C.O.D. or credit terms)
  54. Cardholder Name (Please Print):_________________________________
  55. Card Number: ___________________________________________________
  56. Expiration Date: _________________
  57. Cardholder Signature: __________________________________________
  58. -----------------------------------------------------------------------------
  59.