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Text File  |  1991-06-01  |  3KB  |  61 lines
  1. To register your copy of VUIMAGE(tm) and obtain VUIMAGE PLUS(tm), please
  2. fill out the following form and send it along with a check or money order to:
  3.  
  4.             Offe Enterprises (Attn: Orders)
  5.             1163 E. Ogden Avenue, Suite #705-131
  6.             Naperville, IL 60563, USA                Tel:  (708)-357-6679
  7. -------------------------------------------------------------------------       
  8. (PLEASE PRINT OR TYPE)
  9. Name (to register to): ________________________________________________
  10.  
  11.    Address to ship to: ________________________________________________
  12.  
  13.                        ________________________________________________
  14.  
  15.                        ________________________________________________
  16.  
  17.                        ________________________________________________
  18.  
  19. Phone: Daytime:___________________ Eve:_________________ Date: ________
  20.  
  21. Signature: _______________________
  22.  
  23. ---------------------------------------------------------------------------
  24. QUANTITY         DESCRIPTION                         UNIT PRICE    TOTAL
  25. ---------------------------------------------------------------------------
  26. ________   VUIMAGE PLUS(tm) (single user license)    US $ 35.00    ________
  27. ________   ______________________________________    __________    ________
  28. ________   ______________________________________    __________    ________
  29.  
  30.                                            Additional Taxes*       ________
  31.                Additional Shipping Charges (Intl/COD/Email)*       ________
  32.  
  33.                                                       Total  US $  ________
  34.  
  35. * VUIMAGE PLUS(tm) price includes taxes and shipping within USA.
  36.   Add US $5.00 for shipping to outside USA.
  37.  
  38. Check/Money Order enclosed for US $ ___________
  39.  
  40. I hereby authorize the above amount to be charged to my Mastercard__ VISA__
  41. Account #___________________________, EXP: _____, Name on card:____________
  42.  
  43. Signed:  __________________
  44.  
  45. ---------------------------------------------------------------------------
  46.  
  47. VUIMAGE(tm) Version # (upper left corner of main menu screen): ____________
  48.  
  49. Place obtained from : _____________________________________________________
  50.  
  51. Main Interest:  GIF ___  TIFF ___  PCX ___  View ___  Print ___  Others ___
  52.                  __________________________________________________________
  53.  
  54. Type of Computer __________________ Type of Operating System ______________
  55.  
  56. Type of video card/monitor ________________________________________________
  57.  
  58. Additional Comments: ______________________________________________________
  59.  
  60. ___________________________________________________________________________
  61.