home *** CD-ROM | disk | FTP | other *** search
/ OS/2 Shareware BBS: 6 File / 06-File.zip / fbd099.zip / private.frm < prev   
Text File  |  1995-11-15  |  2KB  |  56 lines
  1. Order form for private users.
  2. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  3. Fill in this form, then print and mail to the address shown below.
  4.  
  5. ===Cut here=== ===Cut here=== ===Cut here=== ===Cut here=== ===Cut here===
  6.  
  7.            Name: ___________________________________________________________
  8.  
  9.         Address: ___________________________________________________________
  10.  
  11.                  ___________________________________________________________
  12.  
  13.        Province: ___________________________________________________________
  14.  
  15.         Country: __________________________
  16.  
  17.     Postal code: __________
  18.  
  19.   Day telephone: ______________
  20.  
  21.   Email address: ____________________________________________
  22.  
  23. Fidonet address: ___________
  24.  
  25. FBDIFF registration code (required for upgrades only): ____________________________ (________:________)
  26.  
  27. Item                   Quantity    Unit price    Line total
  28. FBDIFF standard          ___         $20           $____
  29. FBDIFF extended          ___         $25           $____
  30. Upgrade to extended      ___         $8            $____
  31. Disk shipment (1.44MB)   ___         $8            $____
  32. Disk shipment (1.2MB)    ___         $9            $____
  33. -----------------------------------------------------------
  34. Subtotal:                                          $____
  35. Shipping included                                  $   0
  36. Add 8% PST for Ontario orders                      $____
  37. Total:                                             $____
  38.  
  39. Delivery method: [ ] Snailmail
  40.                  [ ] Fidonet crashmail
  41.                  --- Internet email not availble due to Bell rate hikes.
  42.  
  43. Remit by cheque in Canadian funds drawn on a Canadian bank or by postal money
  44. order in Canadian funds.  Do not send cash through the mail.
  45.  
  46. Order receipts would have been confirmed by Internet email, but Bell has forced
  47. up the ISP rates in Canada, forcing me to permently disconnect from Internet.
  48.  
  49. Make chques payable to C. Henshaw.
  50.  
  51. Mail to: Goliath Software,
  52.          48 Millwood Road,
  53.          Toronto, Ontario,
  54.          Canada, M4S-1J7
  55. ===Cut here=== ===Cut here=== ===Cut here=== ===Cut here=== ===Cut here===
  56.