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REGISTER.DOC
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1993-05-30
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3KB
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76 lines
SHAREWARE REGISTRATION PAGE
Please mail this registration, with your payment of $50.00 + S&H, to
either:
U.S.A
──────
BecknerVision Inc, Dept 15, PO Box 11945, Winston-Salem NC 27116-1945
Europe
───────
SOFTSOL Tel.:+49-40-7665764
Neue Str. 35a Fax :+49-40-7665664
2100 Hamburg 90 BBS :+49-40-7665527/8
Germany CIS :100112,3401
If paying by credit card or requesting COD, you may fax this page to (919)
760-1003 or in Europe: +49-40-7665664. Please fill out all pertinent
information:
Your name: _________________________________________________________________
Shipping Address: __________________________________________________________
City: ________________________________ State: _______ Zip code: __________
Voice phone: __________________ Fax phone: ________________ CIS: _________
Pmt method: ___ Check ___ Money Order ___ COD ___ AMEX/VISA/MasterCard
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Cost of library .............................................. ___$50.00____
Choose shipping method: ___ UPS Ground $7.50 USA
___ UPS Ground $10.50 CANADA
___ UPS 2-day $12.50 USA
___ UPS 2-day $16.50 CANADA _____________
(FOREIGN ORDERS CONTACT US FOR SHIPPING PRICE, or
sign here if you authorize us to charge actual shipping amount
to your credit card or COD bill: ____________________________)
COD Orders, add $7.50 ........................................ _____________
North Carolina addresses add $3.00 sales tax ................. _____________
GRAND TOTAL .................................................. _____________
Your signature is required to process ANY order: ___________________________
When ordering in Europe, what's your europian VAT no.? _____________________
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(credit card orders only)
Credit card number: ________________________________ Expires: _____________
Type: ___ AMEX ___ VISA ___ MasterCard
Name on card: ______________________________________________________________
AMEX include EXACT billing address: _______________________________________
____________________________________________________________________________
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Version 1.02 BecknerLib II
Disk size: ___ 3.5" ___ 5.25" HD ___ 5.25" DD