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Text File  |  1996-06-20  |  2KB  |  72 lines
  1. Launch Order Form
  2. -----------------
  3.  
  4.         Name: 
  5.   Email Addr: 
  6.      Company: 
  7.      Address: 
  8.  City/Suburb: 
  9.        State: 
  10. Postcode/Zip: 
  11.      Country: 
  12.        Phone: 
  13.          Fax: 
  14.  
  15.   Sales Code: WWW0440
  16.  
  17. ____ x Single user licence(s) at  $35 each: $______
  18. ____ x Server licence(s)      at $200 each: $______
  19. ____ x Site licence(s)        at $450 each: $______
  20. ____ x Company licence(s)     at $950 each: $______
  21.  
  22.                                     Total: $_______
  23.  
  24. Please send this order to:
  25.  
  26.   Crystal Software
  27.   14 Canterbury Rd
  28.   Heathmont
  29.   Victoria 3135
  30.   AUSTRALIA
  31.  
  32.  
  33. Payment
  34. -------
  35.  
  36. Credit cards accepted: Visa, MasterCard, Bank Card
  37.  
  38.  
  39. Number: ____ ____ ____ ____    Expiry date: _________
  40.  
  41.  
  42.  
  43. Signature: _________________________  Date: _________
  44.  
  45.  
  46. * Also accepted: Bank draft or prepaid postal money order in Australian
  47.   dollars. All cheques must be drawn on an Australian bank.
  48. * Please make all cheques/money orders out to Simon Carter.
  49. * Please do NOT send credit card details via InterNet.
  50.  
  51. Comments/Suggestions/Corrections:
  52.  
  53. ______________________________________________________________________
  54.  
  55. ______________________________________________________________________
  56.  
  57. ______________________________________________________________________
  58.  
  59. ______________________________________________________________________
  60.  
  61. ______________________________________________________________________
  62.  
  63. ______________________________________________________________________
  64.  
  65. ______________________________________________________________________
  66.  
  67. ______________________________________________________________________
  68.  
  69. ______________________________________________________________________
  70.  
  71. ______________________________________________________________________
  72.