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Text File  |  1996-05-06  |  3KB  |  65 lines
  1. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
  2. NOTE: It is easier to fill out this form by typing SDIR /INFO and then
  3.       pressing "R". You can then print out or save it to a file for mailing.
  4.       If you do not have access to a printer, a hand written copy of this
  5.       form will be accepted. Alternatively, you can email this form.
  6. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
  7.  
  8.                                     INVOICE
  9.                                     =======
  10.  
  11.                          SuperDIR 95 V6.0 Registration
  12.  
  13.  
  14. Send this form with payment to:
  15.      Omnivision Technologies
  16.      11 Lynnwood Parade
  17.      Lower Templestowe
  18.      Melbourne, Victoria
  19.      Australia 3107
  20.  
  21. OR email it to (credit card payment only):
  22.      hofman@silas.cc.monash.edu.au
  23.  
  24. Please allow 2 weeks for the delivery of your registration key via mail
  25. (much sooner with email).
  26.  
  27.  
  28.    Name: ________________________________________
  29. Company: ________________________________________
  30. Address: _______________________________________________________________
  31.    City: ____________________________________________________ State: ___
  32. Country: ____________________________________ ZIP/Postal Code: _________
  33.  
  34.   Phone: ___________________ (please include area code)
  35.     Fax: ___________________ (please include area code)
  36.  E-mail: _______________________________________________________________
  37.  
  38.       Method of payment: ____________________
  39.       (VISA, Mastercard, Bankcard, Cheque, or International Money Order ONLY)
  40.  
  41.       Credit card owner: _______________________________________
  42.      Credit card number: _________________________
  43. Credit card expiry date: __/__/__
  44.  
  45. (Cheques/money orders must be in Australian dollars or equivalent US dollars)
  46.  
  47.           Quantity: ___
  48.              Price: $______
  49.  Quantity Discount: $______     (2-19 copies = 10%, 20-49 = 25%, 50+ = 35%)
  50.                     -------
  51.              TOTAL: $______
  52.  
  53. Return registration key by: _____________________________
  54.                             (Mail, Email, of Fax ONLY)
  55.  
  56. I obtained SuperDIR from: _________________________________________________
  57.  
  58. Improvements for future versions are:
  59. ___________________________________________________________________________
  60. ___________________________________________________________________________
  61. ___________________________________________________________________________
  62.  
  63.                       Thank You For Registering SuperDIR
  64.  
  65.