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/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr24 / qcopy333.zip / QUIKCOPY.ORD < prev    next >
Text File  |  1993-06-06  |  1KB  |  46 lines
  1.                       QUIKCOPY ORDER FORM
  2.  
  3. Name: _________________________________________________________
  4.  
  5.  
  6. Address: ______________________________________________________
  7.  
  8.  
  9.          ______________________________________________________
  10.  
  11.  
  12.          ______________________________________________________
  13.  
  14.  
  15.          ______________________________________________________
  16.  
  17.  
  18. Serial Number (if upgrading): _________________________________
  19.  
  20.  
  21. Signature: ____________________________________________________
  22.  
  23.  
  24. Telephone (optional): _________________________________________
  25.  
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  27. Form of payment: ______________________________________________
  28.  
  29.  
  30. Payment inside South Africa: __________ x R25 = _______________
  31.  
  32.  
  33. Payment outside South Africa: _________ x $20 (US) = __________
  34.  
  35.  
  36. Media required (mark with X, DD/HD): __D____ 5.25" __D____ 3.5"
  37.  
  38.  
  39. Address to send to:    Roland Skinner
  40.                        RJS Software
  41.                        P.O. Box 14134
  42.                        Bredell
  43.                        1623
  44.                        Republic of South Africa
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