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Monster Media 1993 #2
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ORDER.DOC
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1993-06-12
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2KB
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63 lines
ORDER FORM
(Refer README.DOC for ordering instructions and conditions)
Name: __________________________________________________________
Company: __________________________________________________________
Address: __________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Phone: ________________________ Fax: ________________________
CompuServe: ________________________
Select software:
(USD equivalents approximate only)
Galleria
___ Individual ____________________ AUD $75 (USD $51) _______
___ Corporate ____________________ AUD $295 (USD $201) _______
Galleria + Galleria/CM
___ Individual ____________________ AUD $99 (USD $67) _______
___ Corporate ____________________ AUD $375 (USD $255) _______
Galleria + Galleria/CM (upgrade from existing Nikon II license)
___ Individual ____________________ AUD $40 (USD $27) _______
___ Corporate ____________________ AUD $150 (USD $102) _______
Shipping & handling (for international fax/post orders)
____________________ AUD $10 (USD $7) _______
Total AUD _______
Enclose cheque/check for total (or converted equivalent) or complete
credit card details:
Credit card: ___ Mastercard ___ Visa ___ Amex id: ____
Card number: ________________________________ Expiry: __ / __
Cardholder's name: ___________________________________________________
Signature: ___________________________________________________
Revised: 6/93