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Educational Software Cooperative 4
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order.txt
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1996-02-06
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4KB
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96 lines
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| MIDILANG/PIK A PROGRAM ORDER FORM 1/2 |
-------------------------------------------------------------------------
You may mail, fax, e-mail, or phone in your order. Please send the
completed registration form, along with payment to Pik A Program, Inc. at:
Pik A Program (tm) TOLL FREE (ORDERS ONLY) 1-800-445-3346
13 Saint Marks Place Telephone (212) 598-4459
NY, NY 10003 USA Fax (212) 228-5879
USA Compuserve: 74777,3233
Internet: 74777,3233@CompuServe.COM
__________________________________________________________________________
(Name)
__________________________________________________________________________
(Company)
__________________________________________________________________________
(Street1)
__________________________________________________________________________
(Street2)
__________________________________________________________________________
(Town) (State) (Zip)
__________________________________________________________________________
(Telephone) (Fax) (Country if outside USA)
You will get a diskette containing the latest full version of the
program. Shipping within North America is $4.00 for your entire order,
whether you order 1 or 100 items.
QUANTITY ITEM PRICE EACH TOTAL
--------------------------------------------------------------------------
MidiLang US$ 35.00 US$
--------------------------------------------------------------------------
Shipping US$ 4.00 US$ 4.00
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TAX (NYS residents only) ___ % US$
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TOTAL: US$
================
Orders are sent on 3.5" high density diskettes unless otherwise requested.
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| MIDILANG/PIK A PROGRAM ORDER FORM 2/2 |
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I am paying by:
( ) CHECK ( ) VISACARD ( ) MASTERCARD ( ) AMERICAN EXPRESS
( ) CASH (by registered mail only, please) ( ) DISCOVER CARD
Number ______-______-______-______ Exp. date ___-___
________________________________________________ ______-______-______
(Signature) (Date)
THANK YOU FOR REGISTERING YOUR SHAREWARE!
Important: If you are ordering by mail or fax, please completely fill
out this form and send it in. If you are sending a check or money
order, please make sure that payment is made in US funds drawn on a US
bank.
For registered users of any program which Pik A Program distributes, who
do not already have access to Compuserve, we can supply a FREE
Compuserve membership with a $15.00 usage credit. This is much more
than enough online time to have your technical support questions
answered, and still have some fun!
For those who do not have access to a modem, we offer special pay by the
minute telephone support. This is available to registered and
non-registered users of our programs, but registered users get a
discount. Call us for information.
We would appreciate it if you would tell us where did you first heard
about this program. Thanks for your cooperation.
[] BBS - which one?______________________________________
[] Friend [] retail store package
[] CD-ROM - which one?___________________________________
[] magazine - which one?_________________________________
[] other - ______________________________________________
For latest shareware copy of MidiLang, use the WEB pages
of Pik A Program : http://www.pik.com