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Text File  |  1992-06-09  |  2KB  |  65 lines
  1. Order form for Alchemy Mindworks' shareware: [ ] 5 1/4 [ ] 3 1/2 inch disks
  2.  
  3. Name (yours) _________________________________________________________
  4.  
  5. Address (likewise, yours) ____________________________________________
  6.  
  7.               ____________________________________________
  8.  
  9. City/town ____________________________________________________________
  10.  
  11. County ______________________________ Post Code _____________________
  12.  
  13. Country ______________________________________________________________
  14.  
  15. Daytime phone number _________________________________________________
  16.  
  17. FAX number ___________________________________________________________
  18.  
  19. Computer used (no idea why we want to know this) _____________________
  20.  
  21. Payment: [ ] Visa/Access (see below)       [ ] Cheque
  22.      [ ] Cash (take your chances)    [ ] Other (no chickens, please)
  23.  
  24. I'd like to order the following Alchemy Mindworks shareware:
  25.  
  26.                                Sterling    
  27. [ ] Graphic Workshop                    £29.00
  28. [ ] Graphic Workshop for windows            £29.00        
  29. [ ] Image Gallery                    £29.00
  30. [ ] Desktop Paint (monochrome)                £29.00
  31. [ ] Desktop Paint 256                    £29.00
  32.  
  33. _______________________________________________________________________
  34.  
  35.  
  36. Add 2 pounds per order for P&P (UK mainland)         P&P__________
  37. Add 5 pounds per order other countries.
  38.  
  39. If your order is for delivery in the UK add VAT at
  40. normal rate (currently 17.5%)                     VAT__________
  41.  
  42.                              TOT__________
  43. ______________________________________________________________________
  44.  
  45. Payment by CREDIT CARD. We can accept Visa/Access/Mastercard ONLY.
  46. We will need the following information:
  47.  
  48. Credit card number: ______________________________________________________
  49.  
  50. Expiry date: _____________________________________________________________
  51.  
  52. Bank the card's drawn on: ________________________________________________
  53.  
  54. The name as it appears on the card: ______________________________________
  55.  
  56. The signature of its owner authorizing us
  57. to debit it for the amount indicated above: ______________________________
  58.  
  59. _______________________________________________________________________
  60.  
  61. Mail this form to:The Public Domain And Shareware Library
  62.           Winscombe House, Beacon Road, Crowborough
  63.           Sussex TN6 1UL. If you are ordering by
  64.           credit card you can FAX it on 0892 667473
  65.