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Monster Media 1996 #15
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ORDER.FRM
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Text File
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1996-04-05
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4KB
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126 lines
GRAPHIC LEVEL MATER
Version 2.10000
ORDER FORM
DISK SIZE: (Check One) [ ]3.5" 1.4M [ ]3.5" 720k
[ ]5.4" 1.2M
Quantity: payable in U.S. Dollars.
Program only... $10.00 x ______ = $___________
Shipping... $5.00 x ______ = $___________
Total... $
===========
in Japanese, Yen.
Program only... 1000 yen x ______ = ___________ yen
Shipping... 500 yen x ______ = ___________ yen
Total...
=========== yen
PAYMENT TYPE:(Check One) [ ]AMEX CARD [ ]Bank [ ]Money Ship
for AMEX form:
Cardmember Acct No.__________________________________
Cardmember name______________________________________
Cardmember Valid Dates_______________________________
Cardmember Signature_________________________________
for Bank:
In JAPAN. DAIICHI KANGYOU BANK
branch No.267(MACHIDA)
account No.1885441
account Name:GOHRUDEN WIHZU PUROJEKUTO
DAIHYOU YAMASAKI YUKINORI
phone:(JAPAN)-427-23-0005
for Money ship
Yukinori Yamasaki
Golden Weeds Project Japan
Peerage AOYAMA5-214
4-9-8 Nakamachi, Machida-shi
Tokyo 194, JAPAN
Voice (+81)427-39-7672
Fax (+81)427-39-7671
When money ship,within this order form into envelope.
Name:__________________________________________________________________
Company:_______________________________________________________________
Street address:________________________________________________________
City:_____________________________________ ZIP code:___________________
Phone:______________________________ FAX:______________________________
Where did you get this program? [ ]BBS [ ]Friend [ ]FTP [ ]other
from BBS:(name)_______________________
(ID)_________________________
from FTP site:(name)_______________________
(yours address)_________________________
other:________________________________
What do you use about machine...
CPU: [ ]386SX [ ]386DX [ ]486SX [ ]486DX [ ]Pentium [ ]G6
[ ]other__________________________
Cache:_________KB Processor speed:_________MHz
RAM:__________MB Harddisk:__________MB
Video board: [ ]CGA or lower [ ]EGA [ ]VGA [ ]SVGA
[ ]other:_________________________
Video memory:___________KB
Sound card: [ ]Sound Blaster [ ]Sound Blaster( )
[ ]Gravis UltraSound [ ]Gravis UltraSound( )
[ ]Pro Audio Spectrum
[ ]other__________________________________________________
And any else questions? or request?
(If you have many questions, You can send by InterNet-Mail.)
(My address is gwp@ppp.bekkoame.or.jp. )
_____________________________________________________________________
Thank you for filling this form out. all text on the check must be in the
english language or japanese language. Then this order form send by Air
mail or FAX:
by airmail... look at upper "PAYMENT TYPE for BANK"
by FAX:(+81)-427-39-7671 (FAX and VOICE auto detect)
ex.)from U.S. 011-81-427-39-7671
Golden Weeds Project Japan