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/ MacWorld 1999 July / Macworld (1999-07).dmg / Shareware World / Network / EpsonShare_1.2_US / EpsonShare 1.2 / Credit Card Form next >
Text File  |  1999-05-01  |  3KB  |  71 lines
  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.  The server price varies by the number of clients you want to serve.
  16.  
  17.                         Number      French 
  18.                       of Clients    Francs       Euros     $USD
  19.                                                    
  20.                            1         150          25       24
  21.                            3         250          41       39
  22.                            5         350          57       56
  23.                           10         550          90       89
  24.                           20         750         123      119
  25.                           50         950         155      153
  26.                 
  27.  ------------------------------------------------------------------------------------
  28.  Your order
  29.        
  30.  Currency
  31.    If you reside in France, thank you to pay in French Francs. Euros only for
  32.    countries of the European community. Dollars US for all other countries.
  33.         
  34.  
  35.         Clients           Product            Price and Currency  
  36.  
  37.           ...           EpsonShare           ..................
  38.  
  39.                            Total             ..................
  40.  
  41.  ------------------------------------------------------------------------------------
  42.  
  43.             Your name: ...............................................
  44.           Your e-mail: ...............................................
  45.               Country: ...............................................
  46.            Fax number: ...............................................
  47.         
  48.     Credit card type  (Visa,American Express ou Eurocard/Mastercard):
  49.               
  50.               ...............................................
  51.               
  52.                       
  53.     Your credit card number: ...................................
  54.                 Expiry date: ...................................
  55.               
  56.  ------------------------------------------------------------------------------------
  57.  Authorization
  58.     
  59.              I authorize S.E.S to charge my credit card for
  60.                        (Amount and Currency)
  61.                         
  62.                  ......................................
  63.                         
  64.                         
  65.                              signature:
  66.                         
  67.  
  68.  
  69.  
  70.  ------------------------------------------------------------------------------------
  71.