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Text File  |  1993-09-28  |  2KB  |  76 lines
  1.  
  2.                       Spelmate DLL for Windows Order Form
  3.  
  4.         NAME:     ______________________________________________________
  5.  
  6.         COMPANY:  ______________________________________________________
  7.  
  8.         ADDRESS:  ______________________________________________________
  9.  
  10.                   ______________________________________________________
  11.  
  12.         CITY:     ______________________________________________________
  13.  
  14.         COUNTY:   ________________________  Post/Zip Code:  ____________
  15.  
  16.         PHONE:    ______________________________________________________
  17.  
  18.         E-MAIL ADDRESS:  _______________________________________________
  19.  
  20.         WHERE DID YOU HEAR OF Spelmate?   ______________________________
  21.  
  22.         ________________________________________________________________
  23.  
  24.         COMMENTS:  _____________________________________________________
  25.  
  26.         ________________________________________________________________
  27.  
  28.  
  29.         Basic Registration @ £25.00 ($38+$7=$45)              £__________
  30.  
  31.  
  32.         Language Version, Tick one                      American  _____
  33.  
  34.                                                          British  _____
  35.  
  36.  
  37.  
  38.         Floppy Disk Type, Tick one               (360K) 5.25"(2)  _____
  39.  
  40.                                                  (1.2M) 5.25"(1)  _____
  41.  
  42.                                                  (720K)  3.5"(1)  _____
  43.  
  44.                                                 (1.44M)  3.5"(1)  _____
  45.  
  46.         Shipping outside U.K. @ £1.50 ($3)                    __________
  47.  
  48.      (Payments MUST be in Pounds Stering or US Dollars)
  49.    (There is a $7 surcharge to convert dollars to Sterling)
  50.  
  51.  
  52.                                                  SUBTOTAL:   £__________
  53.  
  54.  
  55.                                                     TOTAL:   £__________
  56.  
  57.  
  58. Please enclose a check payable to Aciran Software Systems; or you may
  59.  use Access, Visa, MasterCard, or EuroCard.  For credit cards,
  60.  please enter the information below:
  61.  
  62.  Card #:__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
  63.  
  64.  Expiration date: ____/____
  65.  
  66.  Signature:  _________________________________________
  67.  
  68.  
  69.         Remit to:         Aciran Software Systems
  70.                           29 Duncryne Place,
  71.                           Bishopbriggs,
  72.                           Glasgow
  73.                           Scotland G64 2DP
  74.                           United Kingdom
  75.  
  76.