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Text File  |  1996-10-16  |  4.3 KB  |  139 lines
  1.  
  2.                             Multi Module Music Player
  3.                                   Version 1.00
  4.  
  5.                                    ORDER FORM
  6.  
  7.  
  8. DISK SIZE: (Check One)       [  ]3.5" 1.4M   [  ]3.5" 720k
  9.                              [  ]5.4" 1.2M
  10.  
  11. Quantity: payable in U.S. Dollars.
  12.  
  13.           MMMP Program...        $30.00 x ______ = $___________
  14.  
  15.           Shipping...             $7.00 x ______ = $___________
  16.  
  17.           If you use check...    $30.00 x ______ = $___________
  18.           (commission of bank)
  19.  
  20.           Total...                                 $
  21.                                                     ===========
  22.  
  23.                   in Japanese, Yen.
  24.  
  25.           MMMP Program...     3,000 yen x ______ = ___________ yen
  26.  
  27.           Shipping...           500 yen x ______ = ___________ yen
  28.  
  29.           If you use check...   500 yen x ______ = ___________ yen
  30.           (commission of bank)
  31.  
  32.           Total...                                 
  33.                                                    =========== yen
  34.  
  35. PAYMENT TYPE:(Check One)    [  ]AMEX CARD  [  ]Bank  [  ]Money Ship
  36.                             [  ]CHECK
  37.  
  38.               for AMEX form:
  39.  
  40.                   Cardmember Acct No.__________________________________
  41.  
  42.                   Cardmember name______________________________________
  43.  
  44.                   Cardmember Valid Dates_______________________________
  45.  
  46.  
  47.                   Cardmember Signature_________________________________
  48.  
  49.               for Bank:
  50.  
  51.                   In JAPAN. DAIICHI KANGYOU BANK
  52.                   branch No.267(MACHIDA)
  53.                   account No.1970171
  54.                   account Name:GOLDEN WEEDS PROJECT CO.,LTD.
  55.                                DAIHYOUTORISHIMARIYAKU YAMASAKI YUKINORI
  56.                   phone:(JAPAN)-427-23-0005
  57.  
  58.               for Money ship:
  59.               for CHECK:
  60.  
  61.                   Yukinori Yamasaki
  62.                   Golden Weeds Project Co.,Ltd.
  63.                   Peerage AOYAMA5-214
  64.                   Machida-shi, Nakamachi4-9-8
  65.                   Tokyo 194, JAPAN
  66.                   Phone (+81)427-39-7672
  67.                   FAX   (+81)427-39-7671
  68.                   
  69.                   When money ship,within this order form into envelope.
  70.  
  71.  
  72. Name:__________________________________________________________________
  73.  
  74. Company:_______________________________________________________________
  75.  
  76. Street address:________________________________________________________
  77.  
  78. City:_____________________________________ ZIP code:___________________
  79.  
  80. Phone:______________________________ FAX:______________________________
  81.  
  82. Where did you get this program?  [  ]BBS  [  ]Friend  [  ]FTP [  ]other
  83.  
  84.             from BBS:(name)_______________________
  85.  
  86.                      (ID)_________________________
  87.  
  88.        from FTP site:(name)_______________________
  89.  
  90.        from WEB site:(name)_______________________
  91.  
  92.             other:________________________________
  93.  
  94.       (yours web address)_________________________
  95.  
  96.    (yours E-Mail address)_________________________
  97.  
  98. What do you use about machine...
  99.  
  100. CPU: [  ]386SX   [  ]386DX   [  ]486SX   [  ]486DX  [  ]Pentium  [  ]G6
  101.  
  102.      [  ]other__________________________
  103.  
  104. Cache:_________KB   Processor speed:_________MHz
  105.  
  106. RAM:__________MB   Harddisk:__________MB
  107.  
  108. Video board: [  ]CGA or lower   [  ]EGA   [  ]VGA   [  ]SVGA
  109.  
  110.              [  ]other:_________________________
  111.  
  112. Video memory:___________KB
  113.  
  114. Sound card: [  ]Sound Blaster   [  ]Sound Blaster Pro
  115.  
  116.             [  ]Gravis Ultra Sound  [  ]Gravis Ultra sound MAX
  117.  
  118.             [  ]Gravis Ultra Sound  PNP  [  ]Pro Audio Spectrum
  119.  
  120.             [  ]other__________________________________________________
  121.  
  122. And any else questions? or request?
  123. (If you have many questions, You can send by InterNet-Mail.)
  124. (My address is software@gwp3d.com.                         )
  125.  
  126.   _____________________________________________________________________
  127.  
  128. Thank you for filling this form out. all text on the check must be in the
  129. english language or japanese language. Then this order form send by Air 
  130. mail or FAX:
  131.  
  132.       by airmail... look at upper "PAYMENT TYPE for BANK" for address.
  133.  
  134.       by FAX:(+81)-427-39-7671
  135.          ex.)from U.S.  011-81-427-39-7672
  136.  
  137.                          Golden Weeds Project Co.,Ltd.
  138.  
  139.