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Text File  |  1999-04-02  |  3.3 KB  |  77 lines  |  [ttro/ttxt]
  1.  ------------------------------------------------------------------------------------
  2.                       Payment by credit card for shareware
  3.                                   "EpsonShare"
  4.  ------------------------------------------------------------------------------------
  5.             Postal courier                 |              Fax
  6.                                            |
  7.           Send this form to:               |         Send this form to:
  8.                S.E.S                       |
  9.          1, rue de stockholm               |     From France: 02 31 14 90 18
  10.             75008. Paris                   |    From Foreign: +33 2 3114 9018 
  11.                FRANCE                      |
  12.  ------------------------------------------------------------------------------------ 
  13.  Pricing  
  14.  
  15.  SPECIAL OFFER UNTIL 04/30/1999
  16.  
  17.  The server price varies by the number of clients you want to serve.
  18.  
  19.                         Number      French 
  20.                       of Clients    Francs       Euros     $USD
  21.                                                    
  22.                            1         115          18       19
  23.                            3         185          27       29
  24.                            5         235          37       39
  25.                           10         350          56       59
  26.                           20         475          75       79
  27.                           50         595          94       99
  28.                 
  29.  ------------------------------------------------------------------------------------
  30.  Your order
  31.        
  32.  Currency
  33.    If you reside in France, thank you to pay in French Francs. Euros only for
  34.    countries of the European community. Dollars US for all other countries.
  35.         
  36.  
  37.         Clients           Product            Price and Currency  
  38.  
  39.           ...           EpsonShare           ..................
  40.  
  41.                            Total             ..................
  42.  
  43.  ------------------------------------------------------------------------------------
  44.  
  45.             Your name: ...............................................
  46.           Your e-mail: ...............................................
  47.               Address: ...............................................
  48.                        ...............................................
  49.             City/Etat: ...............................................
  50.       Postal Code/Zip: ..................../..........................
  51.               Country: ...............................................
  52.            Fax number: ...............................................
  53.         
  54.     Credit card type  (Visa,American Express ou Eurocard/Mastercard):
  55.               
  56.               ...............................................
  57.               
  58.                       
  59.     Your credit card number: ...................................
  60.                 Expiry date: ...................................
  61.               
  62.  ------------------------------------------------------------------------------------
  63.  Authorization
  64.     
  65.              I authorize S.E.S to charge my credit card for
  66.                        (Amount and Currency)
  67.                         
  68.                  ......................................
  69.                         
  70.                         
  71.                              signature:
  72.                         
  73.  
  74.  
  75.  
  76.  ------------------------------------------------------------------------------------
  77.