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Text File  |  1992-11-24  |  1KB  |  34 lines
  1.         ORDER FORM FOR SOFTWARE                All payments to:
  2.  
  3.    Name ____________________________           PC Independent User Group
  4.    Address _________________________           87 High Street
  5.    _________________________________           Tonbridge
  6.    Town ____________________________           Kent
  7.    County __________________________           TN9 1RX
  8.    Postcode ________________________
  9.    Country _________________________
  10.    Tel No __________________________
  11.  
  12.    Circle disk size required:  5¼"  3½"        Tel: 0732 771512 (3 Lines)
  13.                                                Fax: 0732 771513
  14.                                         Compuserve: 100016,3106
  15.  
  16.     The price of Spear of Destiny is £44.95 Fully Inclusive.
  17.  
  18.     Total amount enclosed: £ _______:____
  19.                                 
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  21.   Payment method: Cheque [ ]:Postal Orders [ ]:Bank Draft [ ]:Credit Card [ ]
  22.  
  23.   Credit Card orders  No. ____ ____ ____ ____ exp __ __    <- IMPORTANT
  24.  
  25.   (VISA, ACCESS OR MASTERCARD ONLY)  Name of Card Holder ____________________
  26.  
  27.   Address of Cardholder if different from above _____________________________
  28.  
  29.   ___________________________________________________________________________
  30.  
  31.   Please tick if you would like a copy of our latest Catalogue [ ]
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