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Text File  |  1993-07-25  |  3KB  |  73 lines
  1. Order form for Alchemy Mindworks' shareware: [ ] 5 1/4 [ ] 3 1/2 inch disks
  2.  
  3. Name (yours) _________________________________________________________
  4.  
  5. Address (likewise, yours) ____________________________________________
  6.  
  7.                           ____________________________________________
  8.  
  9. City/town ____________________________________________________________
  10.  
  11. Province/state _______________________Post/zip code __________________
  12.  
  13. Country ______________________________________________________________
  14.  
  15. Daytime phone number _________________________________________________
  16.  
  17. FAX number ___________________________________________________________
  18.  
  19. Computer used (no idea why we want to know this) _____________________
  20.  
  21. Where did you obtain your copy of this package? ______________________
  22.  
  23. Payment: [ ] Visa (see below)            [ ] American Express (see below)
  24.          [ ] Cheque
  25.          [ ] Cash (take your chances)    [ ] Other (no chickens, please)
  26.  
  27. I'd like to order the following Alchemy Mindworks shareware:
  28.  
  29. [ ] Graphic Workshop for DOS                                 $40.00
  30. [ ] Graphic Workshop for Windows                             $40.00
  31. [ ] GrafCat                                                  $40.00
  32. [ ] Desktop Paint (monochrome)                               $40.00
  33. [ ] Desktop Paint 16                                         $40.00
  34. [ ] Desktop Paint 256                                        $40.00
  35. [ ] Image Gallery                                            $40.00
  36. [ ] Graphic Workshop update for previously registered copy   $20.00
  37. [ ] GrafCat update for previously registered copy            $20.00
  38. [ ] Desktop Paint update for previously registered copy      $20.00
  39. [ ] Desktop Paint 256 update for previously registered copy  $20.00
  40. [ ] Other
  41. _______________________________________________________________________
  42.  
  43. Canadian residents please add GST (it wasn't our idea)    _____________
  44.  
  45. TOTAL                                                     _____________
  46.  
  47. If you're ordering from outside Canada, please make your payment in US
  48. dollars. The exchange more or less covers the extra postage.
  49. _______________________________________________________________________
  50.  
  51. Payment by American Express or Visa card:
  52.  
  53. We can only accept American Express or Visa cards (no MasterCards, please.)
  54. We will need the following information:
  55.  
  56. Credit card number: ______________________________________________________
  57.  
  58. Expiry date: _____________________________________________________________
  59.  
  60. The name as it appears on the card: ______________________________________
  61.  
  62. The signature of its owner authorizing us
  63. to debit it for the amount indicated above: ______________________________
  64.  
  65. _______________________________________________________________________
  66.  
  67. Mail this form to:    Alchemy Mindworks Inc., P.O. Box 500, Beeton,
  68.                       Ontario L0G 1A0, Canada. If you're paying by
  69.                       credit card, you can FAX it to (416) 729-4156.
  70.  
  71. We ship within 48 hours, but please allow two to four weeks for delivery.
  72.  
  73.