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Text File  |  1994-10-25  |  1.2 KB  |  40 lines
  1. Novastorm
  2.  
  3. Platforms:        MPC (DOS)    
  4. Price:            รบ44.99 (incl VAT P&P)
  5. Contact:        Psygnosis - 051 709 5755
  6. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
  7. This order came through CD-ROM Magazine Interactive
  8.  
  9. Software title:    ____________________________________________________
  10.  
  11. Number of copies:    ___________        Cost (incl. 17.5% VAT)    ________________
  12.  
  13.                             
  14.                             Total Cost            ________________
  15.  
  16.  
  17. By post:        Make cheques or postal orders payable to 'Psygnosis Ltd'
  18. Send to:        Psygnosis Ltd, 182 Sefton Street, Liverpool, L3 4BQ
  19. Fax to:        051 709 6466
  20.  
  21. Please debit my credit card with the total cost        Visa    Access        Am Ex        
  22.  
  23. Please debit my card with the total cost        Delta    Switch
  24.  
  25.  
  26. Card number        ___________________________    Expiry date:    _______________    Issue No.    _____________
  27.  
  28. Name on card    _____________________________________________________
  29.  
  30. Signature        _____________________________________________________
  31.  
  32.  
  33. Name            _____________________________________________________
  34.  
  35. Address        _____________________________________________________
  36.  
  37.             _____________________________________________________
  38.  
  39. Phone no        _____________________________________________________
  40.