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- KRYPTON EGG - Order Form Copyright (c) 1994 C²V
- ____________________________________________________________________________
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- Product Description Price Price Price Qty Total
- ==================== FB FF US$
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- MS-DOS Shareware Version 5 levels 250 40.00 8.00 X ___ = _____.___
- Not compatible with Windows.
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- MS-DOS Shareware Version 8 levels 300 50.00 10.00 X ___ = _____.___
- Windows & Chicago compatible.
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- MS-DOS FULL Version 50 levels 999 150.00 25.00 X ___ = _____.___
- Not compatible with Windows.
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- MS-DOS FULL Version 60 levels 1200 199.00 30.00 X ___ = _____.___
- Windows & Chicago compatible.
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- Sub Total: _____.___
- Shipping and handling
- =====================
- Europe Mail 100 20.00 4.00 X ___ = _____.___
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- International Mail 8.00 X ___ = _____.___
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- Total: _____.___
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- Circle Payment form: Check Visa MC Amex
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- Card #: _____________________________________ Exp. Date: ______________
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- Signature: ________________________________________________________________
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- Ship to: Bill to:
- Name: ____________________________ Name: _____________________________
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- Company: ____________________________ Company: _____________________________
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- Address: ____________________________ Address: _____________________________
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- City: ____________ State: ___________ City: ____________ State: ____________
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- Zip: ___________ Country: ___________ Zip: ___________ Country: ____________
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- Phone: (______)______________________ Phone: (______)_______________________
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- Send to:
- -------- Phone: (331) 40.08.07.07
- C ² V Fax: (331) 43.87.35.99
- 82, boulevard Haussmann e-mail: sav@ccv.fr
- Paris 75008 CompuServe: Soon
- France - Europe