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Text File  |  1994-04-16  |  8KB  |  126 lines
  1. Ordering From Duke Graphics:
  2.  
  3. Through an arrangement with Duke Graphics, you can charge the registration
  4. fee of Megalomania Software to your Visa, MasterCard, American Express,
  5. or Discover card.  You can order online via their BBS, or send your order
  6. in the mail with the form that appears below.
  7.  
  8. ORDERING:
  9.  
  10. TO ORDER BY MODEM, call Online Resource at (619) 793-8360 and use the
  11. on-line registration system, available from the main menu.
  12.  
  13. TO ORDER BY MAIL, complete the attached form and mail to:
  14.  
  15. Duke Graphics
  16. 4130 La Jolla Village Drive
  17. Suite 107-169
  18. La Jolla, CA 92037-1480
  19. DUKE GRAPHICS ORDER FORM               FORM: 04/94                    PAGE 1
  20.  
  21.                          ┌─────────────────────────────┐
  22.                          │        Duke Graphics        │▐
  23.                          │ 4130 La Jolla Village Drive │▐
  24.                          │        Suite 107-169        │▐
  25.                          │  La Jolla, CA  92037-1480   │▐
  26.                          │    (619) 736-2614 Voice     │▐
  27.                          │    (619) 793-8360 Data      │▐
  28.                          └─────────────────────────────┘▐
  29.                            ▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀
  30.  
  31. ┌─[ INSTRUCTIONS ]─────────────────────────────────────────────────────────┐
  32. │ ■ Please complete this form in its entirety from top to bottom.          │
  33. │ ■ Please type or print LEGIBLY.  If possible, edit an electronic version │
  34. │   of this form and upload to Online Resource at (619) 793-8360 using the │
  35. │   file name format of <LASTNAME>.FRM such as DUKE.FRM or HAMILTON.FRM.   │
  36. └──────────────────────────────────────────────────────────────────────────┘
  37.  
  38. ┌─[ PERSONAL INFORMATION ]─────────────────────────────────────────────────┐
  39. │                                                                          │
  40. │ Company Name___________________________________________________________  │
  41. │             (If not a company, use name of BBS)                          │
  42. │                                                                          │
  43. │ BBS Name_______________________________________________________________  │
  44. │         (If different from "Company Name")                               │
  45. │                                                                          │
  46. │ Contact________________________________________________________________  │
  47. │        (Use your real name: FIRST LAST, i.e. JOHN DOE)                   │
  48. │                                                                          │
  49. │ Title____________________________________ or [_] System Operator (SysOp) │
  50. │                                                                          │
  51. │ Voice Phone (_____)_____-______          Data Phone (_____)_____-______  │
  52. │                                                                          │
  53. │   Fax Phone (_____)_____-______        Data Phone 2 (_____)_____-______  │
  54. │                                                                          │
  55. │ Street_________________________________________________________________  │
  56. │                                                                          │
  57. │ Suite/PO Box/Apt/Rt/MS_________________________________________________  │
  58. │                                                                          │
  59. │ City____________________________ State/Province________________________  │
  60. │                                                                          │
  61. │ Postal Code_______________ Country: [_]USA [_]CANADA [_]OTHER__________  │
  62. │                                                                          │
  63. │ Referred By: [_]Hamilton TeleGraphics   [_]Friend  [_]Sysop              │
  64. │              [_]Boardwatch      [_]ComputorEdge    [_]Other_____________ │
  65. └──────────────────────────────────────────────────────────────────────────┘
  66.  
  67. ┌─[ NETWORK INFORMATION ]──────────────────────────────────────────────────┐
  68. │                                                                          │
  69. │ Fidonet____:______/_________ Internet Address___________________________ │
  70. │                                                                          │
  71. │ CompuServe________,_________ America On-line____________________________ │
  72. │                                                                          │
  73. │ Other 1_____________________________ Other 2____________________________ │
  74. └──────────────────────────────────────────────────────────────────────────┘
  75. DUKE GRAPHICS ORDER FORM               FORM: 04/94                    PAGE 2
  76.  
  77. ┌─[ ORDER PAYMENT INFORMATION ]────────────────────────────────────────────┐
  78. │                           Select Form of Payment                         │
  79. │                                                                          │
  80. │      [_]Visa  [_]MasterCard   [_]American Express    [_]Discover         │
  81. │      [_]Diner's Club          [_]JCB                 [_]Carte Blanche    │
  82. │      [_]Check Enclosed°       [_]Money Order Enclosed                    │
  83. │                                                                          │
  84. │      °If paying by check, please allow up to 5 business days for your    │
  85. │       check to clear.  To expedite process, pay by money order.          │
  86. │      °A $20 fee is charged for returned checks.                          │
  87. │                                                                          │
  88. ├─[ COMPLETE THIS SECTION ONLY IF PAID BY CREDIT CARD ]────────────────────┤
  89. │                                                                          │
  90. │ Name on Card____________________________________________________________ │
  91. │ (If not your credit card, state what relation cardholder is to you and   │
  92. │ provide cardholder's voice number for verification in space below)       │
  93. │                                                                          │
  94. │ ________________________________________________________________________ │
  95. │                                                                          │
  96. │ Credit Card Number______________________________________________________ │
  97. │                                                                          │
  98. │ Expiration Date_________________________________________________________ │
  99. │                                                                          │
  100. │ Signature (If this form is sent by mail)________________________________ │
  101. └──────────────────────────────────────────────────────────────────────────┘
  102.  
  103. ┌─[ FOR OFFICE USE ONLY ]──────────────────────────────────────────────────┐
  104. │                                                                          │
  105. │ Charged $___.___ on ___/___/___     Approval #__________________________ │
  106. └──────────────────────────────────────────────────────────────────────────┘
  107.  
  108. ┌─[ ITEMS WHICH INCLUDE S&H ]────────────────────┬───┬───┬────┬────────────┐
  109. │                                                │   │   │    │            │
  110. │ ITEM                                           │VER│   │COST│ QTY  TOTAL │
  111. │                                                │   │   │    │            │
  112. │ PCX2ICO - PCX Converter for RoboBOARD/FX       │1.0│   │$ 15│ ___  _____ │
  113. │ ICON/FX - 256 Color Icon Editor for Robo/FX    │1.0│   │$ 20│ ___  _____ │
  114. │                                                └───┘   └────┘            │
  115. ├─[ TOTALS / TAX ]─────────────────────────────────────────────────────────┤
  116. │                                                                          │
  117. │                                                         SUB-TOTAL _____  │
  118. │                                                                          │
  119. │ Sales Tax (in California only) 7% (SUB-TOTAL * .07)               _____  │
  120. │                                                                          │
  121. │                                                             TOTAL _____  │
  122. └──────────────────────────────────────────────────────────────────────────┘
  123.  All sales are final - please evaluate Shareware products prior to purchase
  124.  
  125.                            Thank you for your order!
  126.