home *** CD-ROM | disk | FTP | other *** search
/ PC Plus 53 / ISSUE_53_FEB_1991 / PCPLUS / TREEVIEW / REGISTER.FRM < prev    next >
Encoding:
Text File  |  1991-01-01  |  3.1 KB  |  67 lines

  1.                  ------------------------------------------
  2.                  Treeview 1.1 Registration and Payment Form
  3.                  ------------------------------------------
  4.  
  5.         To order Treeview, please fill out the form below. 
  6.         OR CALL 0297 24088
  7.  
  8.  
  9.                                                       Date: _____________
  10.  
  11.         Name: _____________________________  Title:   ___________________
  12.  
  13.         Company: ________________________________________________________
  14.  
  15.         Address: ________________________________________________________
  16.  
  17.         _________________________________________________________________
  18.  
  19.         City: ___________________________________________________________
  20.  
  21.         State/Country: ________________________ Zip: ____________________
  22.  
  23.         Phone  Work: (_____) _____ - ______  Home: (_____) _____ - ______
  24.  
  25.  
  26.         Method of payment:  Please complete the worksheet below and choose
  27.         one of the payment options indicated. Georgia State residents
  28.         must add sales tax.  ALL CHECKS AND MONEY ORDERS MUST BE DRAWN ON
  29.         U.S. ACCOUNTS ONLY.
  30.         +----------+------------------------------+----------+----------+
  31.         |          |                              |   Cost   |   Total  |
  32.         | Quantity |          Description         | per unit |   Cost   |
  33.         +==========+==============================+==========+==========+
  34.         |          |                              |          |          |
  35.         |          |Treeview 1.1 Software Package |  £19.00  |          |
  36.         |          |                              |          |          |
  37.         +==========+=+============================+==========+==========+
  38.                      |       Georgia residents add sales tax |          |
  39.                      +---------------------------------------+----------+
  40.                      | Shipping Cost if Overseas, add £16.00 |          |
  41.                      +---------------------------------------+==========+
  42.                                                        TOTAL |          |
  43.         Please indicate diskette format:  [ ] 5.25           +==========+
  44.                                           [ ] 3.5
  45.  
  46.          [ ] Check with order  [ ] Money Order  [ ] MasterCard  [ ] VISA
  47.  
  48.         Credit card #:______________________________ Exp. Date: ____/____
  49.  
  50.         Signature: ______________________________________________________
  51.  
  52.         Cardholder's name: ______________________________________________
  53.  
  54.         Cardholder's address: ___________________________________________
  55.         (If different from above)
  56.  
  57.         *****************************************************************
  58.         Send all items to:     SHAREWARE MARKETING
  59.                                3a Queen St.
  60.                                Seaton
  61.                                Devon   EX12 2NY   (Tel. 0297 24088)
  62.  
  63.         Company/Governement Purchase Orders are accepted for a minimum
  64.         of £30 worth of goods, therefore if you don't want 2 copies of Treeview
  65.         please call 0297 24088 for a catalogue of other IBM or Macintosh software.
  66.  
  67.