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Text File  |  1992-07-06  |  2KB  |  49 lines
  1.                         VDS Advanced Research Group
  2.                               P.O. Box 9393
  3.                         Baltimore, MD 21228, U.S.A.
  4.  
  5.                              (410) 247-7117
  6. ****************************************************************************
  7.                              VDS Order Form
  8.  
  9.                                                        Date: ___/___/_____
  10.                                                              mm /dd /yyyy
  11.  
  12. Name: _____________________________________________________________________
  13.  
  14. Address: Street: __________________________________________________________
  15.  
  16.      City: ___________________________ State: _____________________________
  17.  
  18.      Country: _____________________________ Postal/Zip Code: ______________
  19.  
  20.      * P.O. Box orders are not accepted unless the full payment is enclosed.
  21.        Make checks payable to Tarkan Yetiser. Allow 2-3 weeks for delivery.
  22.        Checks are NOT cashed until the day of shipment.
  23.  
  24.  
  25. Phone:  (      )        -                  (      )        -
  26.  
  27. Contact Person: ___________________________________________________________
  28.  
  29.  
  30. Payment Type:            ( ) Enclosed
  31.                          ( ) C.O.D.
  32.                          ( ) Call for arrangement
  33.  
  34. License Type:  ( ) Personal   ( ) Charity    ( ) Academic   ( ) Business
  35.  
  36.   * Charity requests must be accompanied by a letter from the organization.
  37.  
  38. Number of Copies:  ______________
  39.  
  40.  
  41. When the programs in the VDS package run, they display the name of the
  42. licensee on the last line of the computer screen. The name can be up to
  43. 30 characters in length. Please type in the licensee name you prefer below.
  44. If you leave it blank, we will use the name provided above.
  45.  
  46.  
  47. ___________________________________________________________________________
  48.  
  49.