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-
- ===== TIMESTAT v2.0 ============================ Order Form ====
-
- Remit this form to:
-
- Walter Pedro Marques
- Urb. Portela, Lote 178 10º Esq.
- 2685 Sacavém
- Portugal
-
- ---------------------------------------------------------------
-
- TimeStat Registration fee : $7.0 US
- or : 1000 Escudos
-
-
- Payment is done by (check one):
-
- [ ] vale postal (Portuguese residents only)
- [ ] international postal money order (prepaid) in Portuguese
- funds.
- [ ] check or money order in Portuguese funds drawn on a
- Portuguese bank.
- [ ] bank transfer (prepaid) to:
- Banco Nacional Ultramarino
- Rua Augusta - Lisboa
- Account 9900 210 246 5990
-
- Terms: Checks may be subject to bank clearance delay before
- shipment; please make all checks 'non-negotiable' to minimize
- the risks incurred in the mail. All prices and terms are current
- as of November 1991 and may change without notice.
-
-
- BBS Name ____________________________ BBS Phone _____________
-
- BBS Software and version ______________________________________
-
- SysOp's Name __________________________________________________
-
- Address _____________________________________________________
-
- _____________________________________________________
-
- Country ____________________ Voice Phone ___________________
-
- Where did you get TimeStat ? __________________________________
-
- Comments _____________________________________________________
-
- _____________________________________________________
-
- =================================================================
-