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- ============================================================================
- === ORDERING INFORMATION FOR COLD DREAMS ===
- ============================================================================
-
- THANK YOU FOR REGISTERING YOUR SHAREWARE!
-
- Important: If you are ordering by mail or fax, please completely fill out
- this form and send it in. If you are sending a check or money order,
- please make sure that payment is made in US funds drawn on a US bank.
-
- For registered users of any program which Pik A Program distributes, who do
- not already have access to Compuserve, we can supply a FREE Compuserve
- membership with a $15.00 usage credit. This is much more than enough online
- time to have your technical support questions answered, and still have some
- fun!
-
- You may mail, fax, e-mail, or phone in your order. If you are ordering
- from outside the USA, please first check to see if there is a distributor
- for this program in your country. Please send the completed registration
- form, along with payment to Pik A Program, Inc. at:
-
- Pik A Program (tm) TOLL FREE (ORDERS ONLY) 1-800-TOREGISTER
- 13 Saint Marks Place (867-3447)
- NY, NY 10003 Telephone (212) 598-4939
- USA Fax (212) 228-5879
- Compuserve: 74777,3233
- Internet: 74777.3233@CompuServe.COM
-
- ============================================================================
- === ORDERING INFORMATION FOR COLD DREAMS ===
- ============================================================================
-
- __________________________________________________________________________
- (Name)
-
- __________________________________________________________________________
- (Company)
-
- __________________________________________________________________________
- (Street1)
-
- __________________________________________________________________________
- (Street2)
-
- __________________________________________________________________________
- (Town) (State) (Zip)
-
- __________________________________________________________________________
- (Telephone) (Fax) (Country if outside USA)
-
-
- Shipping within North America is $4.00 for your entire order, whether you
- order 1 or 100 items.
-
-
- QUANTITY ITEM PRICE EACH TOTAL
- --------------------------------------------------------------------------
- COLD DREAMS CD-Version US $30.00 US$
- --------------------------------------------------------------------------
- COLD DREAMS Disk-Version US $30.00 US$
- --------------------------------------------------------------------------
- Shipping US $ 4.00 US$ 4.00
- --------------------------------------------------------------------------
- TAX (NYS residents only) ___ % US$
- --------------------------------------------------------------------------
- TOTAL: US$
- ================
- Disk orders are sent on 3.5" diskettes unless otherwise requested. Prices
- good through 12/96, subject to change thereafter.
- I am paying by:
- ( ) CHECK ( ) VISACARD ( ) MASTERCARD ( ) AMERICAN EXPRESS
- ( ) CASH (by registered mail only, please) ( ) DISCOVER CARD
-
- Number ______-______-______-______ Exp. date ___-___
-
- ________________________________________________ ______-______-______
- (Signature) (Date)
-
- We would appreciate it if you would tell us where did you first heard
- about this program. Thanks for your cooperation.
- [] BBS - which one?______________________________________
- [] Friend [] retail store package [] CD-ROM
- [] magazine - which one?_________________________________
- [] other - ______________________________________________
-
-