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Text File  |  1993-07-27  |  2KB  |  45 lines

  1.                           ORDER/REGISTRATION FORM
  2.                           -----------------------
  3.                                                                   
  4.     Name:________________________________  Title:________________ 
  5.                                                                   
  6.     Company:_____________________________________________________ 
  7.                                                                   
  8.     Address:____________________________ City:___________________ 
  9.                                                                   
  10.     Post Code:________  Country:______________ 
  11.                                                                   
  12.     Date:_____/_____/_____           (Fill out form completely)   
  13.  
  14.     ------------------------------------------------------------------
  15.     Product                                        Price/ea      Total
  16.     ------------------------------------------------------------------
  17.     PC-Write Advanced Level                 ___    _£ 79.00_   _______
  18.  
  19.     PC-Write Wizards Kit                    ___    _£ 18.00_   _______
  20.  
  21.     PC-Write Font Selector                  ___    _£ 16.00_   _______
  22.  
  23.     Delivery Securicor £4 (GB Mainland)                        _______
  24.                  Post  £4 (UK elsewhere)
  25.                  Post  £6 (Eire/Europe)
  26.         Overseas sent at prevailing postal rates.
  27.  
  28.                                              Subtotal          _______
  29.  
  30.                                              + 17.5% VAT       _______
  31.       
  32.                                      TOTAL ENCLOSED         __________
  33.  
  34.     Disk Size: [ ] 5-1/4"   [ ] 3-1/2"   [ ] Cheque [ ] Visa  [ ] MC
  35.     
  36.     Card# __________________________________     Exp. Date ________
  37.     
  38.     Signature ______________________________
  39.  
  40.                 Mail Completed form with Payment to: 
  41.          Shareware Plc, 3a Queen St., Seaton, Devon EX12 2NY
  42.     Prices subject to change without notice.  For latest prices and 
  43.            credit card orders you may call: 0297 24088
  44.  
  45.