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/ Monster Media 1996 #14 / Monster Media No. 14 (April 1996) (Monster Media, Inc.).ISO / database / woof12.zip / ORDER.DOC < prev    next >
Text File  |  1996-01-29  |  2KB  |  51 lines
  1.                       O R D E R  F O R M
  2.                       
  3.  
  4. Name_____________________________________    
  5.                                                
  6. Address__________________________________   To:
  7.                                             Robert Strakovits
  8. Place____________________________________   605, Portswood Road
  9.                                             Southampton, SO17 3SL
  10. Zip/Postcode_____________________________   England
  11.                     
  12. Country__________________________________   Tel. 01703 369544
  13.                         Fax: 01703 369544     
  14. Phone____________________________________   (England: +44)
  15. (Please write legibly)
  16.                                             Date: 
  17.  
  18. Please send me the registered version:
  19.  
  20.  
  21.    [ ]   WOOF 1.2   .....................  $19.00 /ú14.00 /DM29
  22.  
  23.          plus
  24.  
  25.    [ ]   SMARTEDITOR 3.0 (Share).........    -.-
  26.  
  27.    [ ]   SYSEDIT 1.1 (Share).............    -.-
  28.  
  29.  
  30.            Postage and Packing ..........  $1.- /ú1.- /DM3
  31.  
  32.  
  33.                                     Total:
  34.                                            =============
  35.  
  36.    ( ) ... 5 1/4      ( ) ... 3 1/2   disk size
  37.  
  38.  
  39. Enclosed:
  40. (  ) international money order
  41. (  ) cheque/postal order (UK)
  42.      Please make payable to 'Robert Strakovits'
  43. (  ) cash (we've never had problems this way...) or
  44. (  ) via bank transfer to
  45.  
  46. NATIONAL WESTMINSTER BANK
  47. 77 London Road Branch; Southampton, SO15 2BL, England
  48. Accountnr.: 69506566         Sorting code: 60-20-02
  49.  
  50.   * Shareware from:
  51.   * Comments: