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Text File  |  1993-08-06  |  2KB  |  66 lines

  1.                   Icolib2a Order Form
  2.                   ===================
  3.  
  4.        Name: __________________________________________________
  5.  
  6.     Company: __________________________________________________
  7.  
  8.     Address: __________________________________________________
  9.  
  10.        City: ___________________________ State: _______________
  11.  
  12.     Country: _______________________ Post/Zip Code: ___________
  13.  
  14.  
  15. Your Email Address: ___________________________________________
  16.  
  17. Where did you obtain
  18.     the program from:  ________________________________________
  19.  
  20. Payment:
  21. =======
  22. All amounts are in Australian Dollars. The exchange rate is
  23. approximately US$0.70 for each AU$1.00 (ie. AU$20 is about US$14)
  24.  
  25. Payments can be made by cash or personal check. (add $2 if paying by check)
  26.  
  27.    Icolib program:                      ____ copies  = $_______
  28.      1       license   no discount. ($20.00)
  29.      2 - 5   licenses 20% discount. ($16.00 each copy)
  30.      6 - 20  licenses 35% discount. ($13.00 each copy)
  31.      21 +    licenses 50% discount. ($10.00 each copy)
  32.  
  33.    If you wish to receive the source code (see "Registering"
  34.    in Help) then add one of the following shipping options:
  35.       Internet Email   ............  No Charge
  36.       Within Australia ............  $5.00
  37.       Overseas         ............  $7.00             $_______
  38.  
  39.                                                 Total  $_______
  40.  
  41. If you are receiving the source code through the
  42. post then specify your disk size:
  43.                       (High Density Only)  ____ 5.25" ____ 3.5"
  44.  
  45. Payments:
  46. ========
  47. Make your payment made out to Stephen Balogh, and send it to:
  48.  
  49.      PO Box 414
  50.      Caulfield East
  51.      Melbourne
  52.      AUSTRALIA     3145
  53.  
  54. Comments:
  55. ========
  56.  
  57. ___________________________________________________________________
  58.  
  59. ___________________________________________________________________
  60.  
  61. ___________________________________________________________________
  62.  
  63. ___________________________________________________________________
  64. If you have access to the Internet then I can be contacted at:
  65.                    steve@cc.monash.edu.au
  66.