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Text File  |  1996-03-12  |  3KB  |  60 lines

  1. ----------------------------------------------------------------------------
  2.           ULTRAFIND 2.2 FOR MACINTOSH & POWER MACINTOSH
  3.  
  4. INTERNATIONAL REGISTRATION/ORDER FORM       *PLEASE PRINT CLEARLY*       2.2
  5. ----------------------------------------------------------------------------
  6. Fax to:                                     Post to: 
  7. +44 171 630 9105                            UltraDesign Technology Ltd.
  8.                                             F5, 39 St.George's Square
  9. email: register@ultradesign.com             London  SW1V 3QN  United Kingdom
  10. ----------------------------------------------------------------------------
  11. Name            :
  12. Organization    :
  13. Mailing Address :
  14.  
  15.  
  16.  
  17.  
  18. Country         :
  19. Phone / Fax     :
  20. E-mail          :
  21. ----------------------------------------------------------------------------
  22. License Type                           |       UK Pounds |      US Dollars |
  23. ---------------------------------------|-----------------|-----------------|
  24.                                        |                 |                 |
  25. UltraFind Single User License:         | ___ x ¬£ 25      | ___ x $ 38      |
  26.                                        |                 |                 |
  27. UltraFind 5 User License:              | ___ x ¬£ 87      | ___ x $135      |
  28.                                        |                 |                 |
  29. UltraFind 10 User License:             | ___ x ¬£120      | ___ x $187      |
  30.                                        |                 |                 |
  31. Tax (EUROPEAN COMMUNITY ONLY) + 17.5%  |       ¬£________ |                 |
  32.                                        |                 |                 |
  33.                                        | TOTAL:¬£________ | TOTAL:$________ |
  34.  
  35. Method of payment:              (please contact us for larger Site Licenses)  
  36.  
  37.       ____  Cheque in UK Pounds or US Dollars
  38.  
  39.             Please note: cheques in UK Pounds must be drawn on a UK bank,
  40.             cheques in US Dollars must be drawn on a US bank.
  41.             Please make cheques payable to "UltraDesign Technology Ltd."
  42.  
  43.       ____  Credit Card: VISA / MASTERCARD / JCB   (Sorry NO Amex or Diners)
  44.  
  45.             Cards are debited in UK Pounds and converted into your currency
  46.             automatically by your card company at today's exchange rate.
  47.                 
  48. Card Number:________/________/________/________/   Expiry date: _____/_____
  49.  
  50. Card Holder's Name: ___________________________
  51.  
  52. Signature __________________________________ Today's Date _________________
  53.  
  54. ----------------------------------------------------------------------------
  55.  
  56. (For our info) Your Macintosh Model:_________________ System Version:_______
  57.  
  58. Where did you find UltraFind?:______________________________________________
  59.  
  60. ~