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order.frm
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Text File
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1993-12-31
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3KB
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67 lines
AIP-NL Name(+Company):
P.O. Box 1432 ---------------------------------
3430 BK Nieuwegein Address:
The Netherlands ---------------------------------
City+Postal/ZIP Code:
Internet: desk@aip.nl ---------------------------------
CompuServe: 100115,2303 Country + state:
TEL: +31-30-662107 ---------------------------------
FAX: +31-30-616571 Phone: FAX:
---------------------------------
Today's date: Email:
----------------------------------------------------------------------------
This form can be used until January the 1th 1995.
UltraCompressor II (tm) single license $43
Site licenses for 2 to 9 computers at $31 each ____ x $31
10 to 49 computers at $25 each ____ x $25
50 to 99 computers at $18 each ____ x $18
100 and more computers at $10 each ____ x $10 ________ +
UltraCrypt + UltraSafe single license $7
Site licenses for 2 to 9 computers at $7 each ____ x $5
10 to 49 computers at $5 each ____ x $4
50 to 99 computers at $3 each ____ x $3
100 and more computers at $2 each ____ x $2 ________ +
UltraSeal licenses ____ x $29 ________ +
(Please fill out an USEAL.FRM for each seal you order!)
Extra program disk and documentation at $8 each ____ x $8 ________ +
Shipping and handling $8 8 +
========
SUB-TOTAL: ________ =
25% discount if ordered before April 1994, OR by a -
BBS system operator (also fill out SYSOP.FRM!) ========
SUB-TOTAL: ________ =
Residents of the E.E.C. add 17.5% sales tax +
(a paper is supplied to allow companies to get this tax back) ========
METHOD OF PAYMENT (choose one): TOTAL: ________ =
American Express [_]
MasterCard/EuroCard/Access/CartaSi [_]
VISA/Carte Bleue [_]
Card number _______ _______ _______ _______ expiration date ___ / ___
Card holder's signature REQUIRED _____________________________________
Billing (card) address _______________________________________________
Eurocheque (must be in Dutch guilders) [_]
Money order (must be in Dutch guilders) [_]
DISK FORMAT (choose one): 5.25" disk [_] 3.5" disk [_]
TERMS: Credit card, check or money order collected on a Dutch bank in Dutch
guilders (directly by AIP-NL or by our distributer Professional Trade
Promotion), a small difference in the resulting amount of dollars can
not be avoided. All licenses/orders are prepaid only.