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REGISTER.TXT
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1996-05-19
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8KB
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208 lines
========================================================================
InterCom v3.x registration form
InterCom is Copyright (c) 1995-96 by Jonathan Tew. All Rights Reserved.
========================================================================
Note: Each registration of InterCom comes with at least two licenses
for InterCom.
Note: InterCom is distributed via BMT Micro and other companies.
These companies are in no other way affiliated with Revolutionary
Software or InterCom.
Note: There is a new company taking registrations for asian and pacific
countries.
----------
World Wide
----------
Mail Orders To: BMT Micro
PO Box 15016
Wilmington, NC 28408
U.S.A.
Voice Orders: 8:00am - 7:00pm EST (-5 GMT)
(800) 414-4268 (Orders only)
(910) 791-7052 (Orders / Order Inquires)
Fax Orders: (800) 346-1OS2 (1672) 24 hours, 7 days a week
Online Orders via BBS: (910) 350-8061 10 lines, all 14.4K
(910) 799-0923 28.8k v.FC
via Compuserve: Thomas Bradford, 74031,307
via Internet: orders@bmt.wilmington.net
We accept Visa, Mastercard, Discover, American Express, Diner's Club,
money order, cashiers checks, and personal checks. We also accept
DM and British currency via registered mail.
Personal checks are subject to clearance.
We accept purchase orders from educational institutions, governmental
agencies and other verifiable businesses. Terms are "Due Upon
Receipt" with a $250 minimum.
Name: ____________________________________________________________
Company: ____________________________________________________________
Address: ____________________________________________________________
____________________________________________________________
City: _______________________ State/Province: __________________
Country: ____________________________ Postal Code: __________________
Phone: ____________________________________________________________
Fax: ____________________________________________________________
Email: ____________________________________________________________
Product Price Quantity Total
--------------------------------------------------------------------
( Funds below specified in US dollars )
_InterCom v3.x__________________ $_29.99__ x ________ = $____.___
________________________________ $________ x ________ = $____.___
________________________________ $________ x ________ = $____.___
________________________________ $________ x ________ = $____.___
________________________________ $________ x ________ = $____.___
Subtotal: $____.___
North Carolina residents, please add 6% sales tax: +$____.___
Shipping (check one):
___ Email (subject to credit card verification Free
___ Fax (subject to credit card verification Free
___ 1st Class ................................. Free
___ Airborne (Next day most places, USA Only).. +$___7.00_
___ Federal Express (USA Only)................. +$__13.00_
___ Federal Express (Canada/Mexico)............ +$__25.00_
___ Federal Express (Europe/Japan)............. +$__30.00_
___ Express (Outside USA) ..................... +$__20.00_
Total: $____.___
For credit card payment only:
Circle one: VISA / Master / Discover / AMEX / Diner's Club
Credit card number: _____________________________________________
Expiration date: ___/___
Authorization signature: _____________________________________________
--- Additional ordering information for our German customers---
If you reside in Germany and wish to register InterComm locally you can
deposit the registration fee into our account in Germany.
The registration fee using this method is 46 DM diskless / 50 DM with
diskette.
Empfanger: Thomas Bradford
Konto-Nummer: 0860221
Bankleitzahl: 500-700-10
After depositing the money, you can fax confirmation of the deposit to
910-350-2937 along with the registration form -or- you can wait until we are
notified by Deutsche Bank that your deposit has been made, usually within 7-10
days.
-------------------
Asian/Pacific
-------------------
Mail Orders To: Taiyotech Singapore Pte Ltd
No. 1, Rocher Canal Road
#06-53/31
Sim Lim Square
Singapore 188504
Voice Orders: 11:00am - 9:00pm
(65) 338-4123 (Orders / Order Inquires)
Fax Orders: (65) 336-2376 24 hours, 7 days a week
via Internet: taiyo@mailhost.net
We accept Visa, Mastercard, American Express, Diner's Club, money order,
cashiers checks, and personal checks. Singapore currency is most welcome.
Personal checks are subject to clearance.
Name:
____________________________________________________________
Company:
____________________________________________________________
Address:
____________________________________________________________
____________________________________________________________
____________________________________________________________
City: _______________________ State/Province: __________________
Country: ______________________ Postal Code: __________________
Phone:
____________________________________________________________
Fax:
____________________________________________________________
Email:
____________________________________________________________
Product Price Quantity Total
---------------------------------------------------------------
Intercom__________ US$29.95___ x ________ = US$____.___
Subtotal: US$____.___
Shipping (check one):
___ Email (subject to credit card verification Free
___ Fax (Singapore Free
___ Federal Express (Outside Singapore)........ +US$__10.00_
Total: US$____.___
For credit card payment only:
Circle one: VISA / Master / AMEX / Diner's Club
Credit card number: _____________________________________________
Expiration date: ___/___
Authorization signature: _____________________________________________
Note: For payment in Singapore dollars, please contact taiyotech for
exact price.