home *** CD-ROM | disk | FTP | other *** search
/ Copernicus 1996 #3 / Image.iso / program / internet / uud273.exe / ORDER.FRM < prev    next >
Encoding:
Text File  |  1995-08-05  |  2.1 KB  |  61 lines
  1. Order form for Carrot Utilities/Games shareware:
  2.  
  3. Name (yours) _________________________________________________________
  4.  
  5. Email        _________________________________________________________
  6. Addresses
  7.          _________________________________________________________
  8.  
  9.          _________________________________________________________
  10.  
  11. Address      _________________________________________________________
  12.  
  13.          _________________________________________________________
  14.  
  15. City/town ____________________________________________________________
  16.  
  17. Province/state _______________________Post/zip code __________________
  18.  
  19. Country ______________________________________________________________
  20.  
  21. Daytime phone number _________________________________________________
  22.  
  23. FAX number ___________________________________________________________
  24.  
  25. Computer used ________________________________________________________
  26.  
  27. Where did you obtain your copy of this package? ______________________
  28.  
  29. What version do you currently have? __________________________________
  30.  
  31. Send to me by:  [ ] Snail Mail                  [ ] EMAIL
  32.  
  33. Disk Size:      [ ] 3 1/2"                      [ ] 5 1/4"
  34.  
  35. Payment:        [ ] Check                       [ ] Money Order
  36.         [ ] Cash (not a good idea)
  37.  
  38. I'd like to order the following Carrot Utilities/Games programs:
  39.  
  40. [ ] The most current Version of UUD                             $18.00
  41. [ ] Autographed Version of UUD :)                               $19.00
  42. [ ] AOL File Combiner                                           $ 8.00
  43.  
  44. Previously registered copies of UUD may be upgraded my sending EMAIL to
  45. author at one of the following EMAIL addresses:
  46.  
  47. Internet: TSNGonzo@netcom.com  Compuserve: 70740,2337
  48. AOL:      TSNGonzo
  49.  
  50. TOTAL                                                     _____________
  51.  
  52. If you're ordering from outside Canada, please make your payment in US
  53. dollars. The exchange more or less covers the extra postage.
  54. _______________________________________________________________________
  55.  
  56. Mail this form to:
  57. Carrot Utilities
  58. 15284 Karl Ave
  59. Monte Sereno, CA 95030
  60.  
  61.