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Text File  |  1997-11-24  |  1.7 KB  |  61 lines
  1. Please print out this form, fill out all fields, include the
  2. amount in cash (bank notes) and send it to:
  3.  
  4. Hyper-Q Software
  5. c/o R. Richina
  6. Heiselstrasse 81
  7. CH-8155 Niederhasli
  8. Switzerland
  9.  
  10. ************************************************************
  11. Q-Recovery 98 Professional 1.0 - Order Form
  12. ************************************************************
  13.  
  14. Last Name:___________________________________________
  15.  
  16. First Name:__________________________________________
  17.  
  18. Company (if applicable):_____________________________
  19.  
  20. Street:______________________________________________
  21.  
  22. Zip Code:____________ City:__________________________
  23.  
  24. Country:_____________________________________________
  25.  
  26. E-Mail Adress:__________________@____________________
  27.  
  28.  
  29. Please indicate followed the EXACT "Owner" and "Company"
  30. like showed under "Info" "Program Info" in Q-Recovery 98 :
  31.  
  32. Owner:_______________________________________________
  33.  
  34. Company:_____________________________________________
  35.  
  36. ***********************************************************
  37.  
  38. Single user licenses:          ___ @ US-$15  =  US-$ ______
  39.  
  40. (or)
  41.  
  42. Single user license + latest
  43. version on floppy disk         ___ @ US-$25  =  US-$ ______
  44.  
  45. Total                                           US-$ ______
  46.  
  47. ***********************************************************
  48.  
  49. From where you have heard
  50. about our program? ________________________________________
  51.  
  52.  
  53. Signature: __________________________________
  54.  
  55. ***********************************************************
  56.  
  57. Please do not forget to include your CASH (banknote)
  58. with your order.
  59.  
  60. After we have received your order, we will send you the
  61. unlocking code the e-mail adress, specified above.