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Text File  |  1994-01-26  |  10KB  |  154 lines
  1. Ordering From Duke Graphics:
  2.  
  3. Through an arrangement with Duke Graphics, you can charge the registration
  4. fee of _____________ to your Visa, MasterCard, or American Express card.
  5. You can call their 1-800 phone number, order on-line via their BBS, or
  6. send your order in the mail with the form that appears below.
  7.  
  8. ORDERING:
  9.  
  10. TO ORDER BY PHONE, call 1-800-DUKE-GFX and ask to purchase a registered
  11. copy of _____________.
  12.  
  13. TO ORDER ON-LINE, call Online Resource at (619) 793-8360 and use the
  14. on-line registration system, available from the main menu.
  15.  
  16. TO ORDER BY MAIL, complete the attached form and mail to:
  17.  
  18. Duke Graphics
  19. 4130 La Jolla Village Drive
  20. Suite 107-169
  21. La Jolla, CA 92037-1480
  22.  
  23. DUKE GRAPHICS ORDER FORM               FORM: 12/93                    PAGE 1
  24.  
  25.                          ┌─────────────────────────────┐
  26.                          │        Duke Graphics        │▐
  27.                          │ 4130 La Jolla Village Drive │▐
  28.                          │        Suite 107-169        │▐
  29.                          │  La Jolla, CA  92037-1480   │▐
  30.                          │    (619) 736-2614 Voice     │▐
  31.                          │    (619) 793-8360 Data      │▐
  32.                          │    (619) 793-8361 Data      │▐
  33.                          └─────────────────────────────┘▐
  34.                            ▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀
  35.  
  36. ┌─[ INSTRUCTIONS ]─────────────────────────────────────────────────────────┐
  37. │ ■ Please complete this form in its entirety from top to bottom.          │
  38. │ ■ Please type or print LEGIBLY.  If possible, edit an electronic version │
  39. │   of this form and upload to Online Resource.                            │
  40. └──────────────────────────────────────────────────────────────────────────┘
  41.  
  42.  
  43. ┌─[ PERSONAL INFORMATION ]─────────────────────────────────────────────────┐
  44. │                                                                          │
  45. │ Company Name___________________________________________________________  │
  46. │             (If not a company, use name of BBS)                          │
  47. │                                                                          │
  48. │ BBS Name_______________________________________________________________  │
  49. │         (If different from "Company Name")                               │
  50. │                                                                          │
  51. │ Contact________________________________________________________________  │
  52. │        (Use your real name: FIRST LAST, i.e. JOHN DOE)                   │
  53. │                                                                          │
  54. │ Title____________________________________ or [_] System Operator (SysOp) │
  55. │                                                                          │
  56. │ Voice Phone (_____)_____-______          Data Phone (_____)_____-______  │
  57. │                                                                          │
  58. │   Fax Phone (_____)_____-______        Data Phone 2 (_____)_____-______  │
  59. │                                                                          │
  60. │ Street_________________________________________________________________  │
  61. │                                                                          │
  62. │ Suite/PO Box/Apt/Rt/MS_________________________________________________  │
  63. │                                                                          │
  64. │ City____________________________ State/Province________________________  │
  65. │                                                                          │
  66. │ Postal Code_______________ Country: [_]USA [_]CANADA [_]OTHER__________  │
  67. └──────────────────────────────────────────────────────────────────────────┘
  68.  
  69.  
  70. ┌─[ NETWORK INFORMATION ]──────────────────────────────────────────────────┐
  71. │                                                                          │
  72. │ Fidonet____:______/_________ Internet Address___________________________ │
  73. │                                                                          │
  74. │ CompuServe________,_________ America On-line____________________________ │
  75. │                                                                          │
  76. │ Other 1_____________________________ Other 2____________________________ │
  77. └──────────────────────────────────────────────────────────────────────────┘
  78. DUKE GRAPHICS ORDER FORM               FORM: 12/93                    PAGE 2
  79.  
  80. ┌─[ SYSTEM INFORMATION ]───────────────────────────────────────────────────┐
  81. │ Maximum Modem Speed: [_]2400  [_]9600  [_]14,400  [_]16,800  [_]19,200   │
  82. │ (Note: 38,400 and 57,600 are not true baud rates.  Please select 14,400) │
  83. │                                                                          │
  84. │ Modem Brand/Model_______________________________________________________ │
  85. │                                                                          │
  86. │ Number of Lines used for BBS [_]1  [_]2  [_]3  [_]4  Other______________ │
  87. │                                                                          │
  88. │ Mailer: [_]No  [_]Yes: [_]Intermail  [_]FrontDoor  Other________________ │
  89. ├──────────────────────────────────────────────────────────────────────────┤
  90. │   Floppy: [_]5-1/4 (1.20 MB)   [_]3-1/2 (1.44 MB)                        │
  91. │                                                                          │
  92. │ Computer: [_]286  [_]386  [_]486  [_]Pentium                             │
  93. │                                                                          │
  94. │      RAM: [_]1MB  [_]2MB  [_]4MB  [_]8MB  [_]16MB  Other________________ │
  95. ├──────────────────────────────────────────────────────────────────────────┤
  96. │    Video: [_]VGA (640x480)     [_]SVGA (1024x768)   [_]XGA (1280x1024)   │
  97. │                                                                          │
  98. │ Video Card Brand/Model_____________________________ RAM_________________ │
  99. ├──────────────────────────────────────────────────────────────────────────┤
  100. │    Sound: [_]PC-Speaker  [_]SoundBlaster-Compatible Sound Card           │
  101. │                                                                          │
  102. │  Scanner: [_]None  [_]Hand  [_]Flatbed  [_]Other________________________ │
  103. │                    [_]GreyScale Shades__________  [_]Colors_____________ │
  104. │                                                                          │
  105. │   CD-ROM: [_]No  [_]Yes: Brand/Model/Speed______________________________ │
  106. ├──────────────────────────────────────────────────────────────────────────┤
  107. │ Operating System: [_]DOS   [_]OS/2   [_]Windows NT                       │
  108. │ DOS Multi-Tasking Environment: [_]Windows   [_]DESQview   [_]DESQview/X  │
  109. └──────────────────────────────────────────────────────────────────────────┘
  110.  
  111.  
  112. ┌─[ ORDER PAYMENT INFORMATION ]────────────────────────────────────────────┐
  113. │                           Select Form of Payment                         │
  114. │                                                                          │
  115. │      [_]Visa  [_]MasterCard   [_]American Express   [_]Diner's Club      │
  116. │      [_]Check Enclosed        [_]Money Order Enclosed                    │
  117. │      [_]Money Order Enclosed                                             │
  118. │                                                                          │
  119. ├─[ COMPLETE THIS SECTION ONLY IF PAID BY CREDIT CARD ]────────────────────┤
  120. │                                                                          │
  121. │ Name on Card____________________________________________________________ │
  122. │ (If not your credit card, state what relation cardholder is to you and   │
  123. │ provide cardholder's voice number for verification in space below)       │
  124. │                                                                          │
  125. │ ________________________________________________________________________ │
  126. │                                                                          │
  127. │ Credit Card Number______________________________________________________ │
  128. │                                                                          │
  129. │ Expiration Date_________________________________________________________ │
  130. │                                                                          │
  131. │ Signature (If this form is sent by mail)________________________________ │
  132. └──────────────────────────────────────────────────────────────────────────┘
  133. DUKE GRAPHICS ORDER FORM               FORM: 12/93                    PAGE 3
  134.  
  135. ┌─[ ITEMS WHICH INCLUDE S&H ]──────────────────────────────────────────────┐
  136. │                                                                          │
  137. │ ITEM                                             PRICE    QUANT    TOTAL │
  138. │                                                                          │
  139. │ BFE - BBS Front End System                       $ 20     ____    _____  │
  140. │ VID - Virus Information Door                     $ 15     ____    _____  │
  141. │ NIX/Gate - Serial Link Gateway                   $ 15     ____    _____  │
  142. │                                                                          │
  143. ├─[ TOTALS / TAX ]─────────────────────────────────────────────────────────┤
  144. │                                                                          │
  145. │                                                         SUB-TOTAL _____  │
  146. │                                                                          │
  147. │ Sales Tax (in California only) 7.75% (Sub-Total * 7.75%)          _____  │
  148. │                                                                          │
  149. │                                                             TOTAL _____  │
  150. └──────────────────────────────────────────────────────────────────────────┘
  151.  
  152.                            Thank you for your order!
  153.  
  154.