home *** CD-ROM | disk | FTP | other *** search
/ The Complete Encyclopedia of Games 1 / Microforum-Over1000GamesVol1-Win31-CD1of2.iso / e / pro5 / order.frm < prev    next >
Text File  |  1994-07-28  |  2KB  |  54 lines
  1.       KRYPTON EGG - Order Form                       Copyright (c) 1994 C²V
  2.   ____________________________________________________________________________
  3.  
  4.  
  5.   Product Description                  Price  Price   Price    Qty     Total
  6.   ====================                  FB     FF      US$
  7.  
  8.   MS-DOS Shareware Version 5 levels     250   40.00    8.00  X ___ = _____.___
  9.     Not compatible with Windows.
  10.  
  11.   MS-DOS Shareware Version 8 levels     300   50.00   10.00  X ___ = _____.___
  12.     Windows & Chicago compatible.
  13.  
  14.   MS-DOS FULL Version 50 levels         999  150.00   25.00  X ___ = _____.___
  15.     Not compatible with Windows.
  16.  
  17.   MS-DOS FULL Version 60 levels        1200  199.00   30.00  X ___ = _____.___
  18.     Windows & Chicago compatible.
  19.  
  20.                                                           Sub Total: _____.___
  21.   Shipping and handling
  22.   =====================
  23.     Europe Mail                         100   20.00    4.00  X ___ = _____.___
  24.  
  25.     International Mail                                 8.00  X ___ = _____.___
  26.  
  27.  
  28.                                                               Total: _____.___
  29.  
  30.   Circle Payment form:       Check      Visa       MC       Amex
  31.  
  32.   Card #: _____________________________________     Exp. Date: ______________     
  33.  
  34.   Signature: ________________________________________________________________
  35.  
  36.   Ship to:                               Bill to:
  37.   Name:    ____________________________  Name:    _____________________________
  38.  
  39.   Company: ____________________________  Company: _____________________________
  40.  
  41.   Address: ____________________________  Address: _____________________________
  42.  
  43.   City: ____________ State: ___________  City: ____________ State: ____________
  44.  
  45.   Zip: ___________ Country: ___________  Zip: ___________ Country: ____________
  46.  
  47.   Phone: (______)______________________  Phone: (______)_______________________
  48.  
  49.   Send to:
  50.   --------                                  Phone:      (331) 40.08.07.07
  51.     C ² V                                   Fax:        (331) 43.87.35.99
  52.     82, boulevard Haussmann                 e-mail:      sav@ccv.fr
  53.     Paris 75008                             CompuServe: Soon
  54.     France - Europe