home *** CD-ROM | disk | FTP | other *** search
/ Magnum One / Magnum One (Mid-American Digital) (Disc Manufacturing).iso / d9 / vuimg292.arc / ORDERFRM.DOC < prev    next >
Text File  |  1991-04-28  |  2KB  |  60 lines
  1. To register your copy of VUIMAGE(tm) and obtain VUIMAGE PLUS(tm), please
  2. fill out the following form and send it along with a check or money order.
  3.  
  4. Send To:    Offe Enterprises (Attn: Orders)
  5.             1163 E. Ogden Avenue, Suite #705-131
  6.             Naperville, IL 60563, USA                  Tel:  (708)-357-6679
  7. ---------------------------------------------------------------------------       
  8. Name (to register to): ________________________________________________
  9.  
  10.    Address to ship to: ________________________________________________
  11.  
  12.                        ________________________________________________
  13.  
  14.                        ________________________________________________
  15.  
  16.                        ________________________________________________
  17.  
  18. Telephone: ___________________________________ Date: __________________
  19.  
  20.  
  21. ---------------------------------------------------------------------------
  22. QUANTITY         DESCRIPTION                      UNIT PRICE       TOTAL
  23. ---------------------------------------------------------------------------
  24.  
  25. ________         VUIMAGE PLUS(tm)                 US $ 30.00       ________
  26.  
  27. ________         __________________________       __________       ________
  28.  
  29. ________         __________________________       __________       ________
  30.  
  31.                                             Additional Taxes       ________
  32.  
  33.                                          Additional Shipping       ________
  34.  
  35.                                                        Total       ________
  36.  
  37. ---------------------------------------------------------------------------
  38. * VUIMAGE PLUS(tm) price includes taxes and shipping within USA.
  39.   Add US $5.00 for shipping to outside USA.
  40.  
  41. Check/Money Order enclosed for US $ ___________
  42.  
  43. ---------------------------------------------------------------------------
  44.  
  45. VUIMAGE(tm) Vers. # : ______ Place obtained from: ______________________
  46.  
  47. Main Interest:  GIF ___  TIFF ___  PCX ___  View ___  Print ___
  48.  
  49. Type of Computer _________________________________________
  50.  
  51. Type of Operating System _________________________________
  52.  
  53. Type of video card/monitor _______________________________
  54.  
  55. Additional Comments: ___________________________________________________
  56.  
  57. ________________________________________________________________________
  58.  
  59. ________________________________________________________________________
  60.