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ORDERFRM.TXT
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1992-03-25
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3KB
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63 lines
To obtain VUIMAGE PLUS(tm), please fill out this form and send along with
check or money order (or fill out credit card information) to:
Offe Enterprises (Attn: Orders)
1163 E. Ogden Avenue, Suite #705-131 BBS:708-357-6680
Naperville, IL 60563, USA Tel: 708-357-6679, Fax:708-357-6683
-------------------------------------------------------------------------
(PLEASE PRINT OR TYPE)
End User Name: ________________________________________________
Company (if applicable): ________________________________________________
Address to ship to: ________________________________________________
________________________________________________
________________________________________________
Phone: Day:___________________ Eve:_________________ Fax: _______________
Signature: _______________________ Date: ____________
Option 1: Disk + printed manual (pre-registered to End User above)
Option 2: Disk + printed manual + registration card + case
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QUANTITY DESCRIPTION UNIT PRICE TOTAL
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____ VUIMAGE PLUS(tm) single user license-Option 1 US$35.00 ________
____ VUIMAGE PLUS(tm) single user license-Option 2 US$50.00 ________
____ _____________________________________________ ________ ________
Additional Taxes* ________
Additional Shipping Charges (Intl/COD/Email)* ________
Total US $ ________
* VUIMAGE PLUS(tm) price includes taxes and shipping within USA.
Add US $5.00 for shipping to outside USA.
Check/Money Order enclosed for US $ ___________
I hereby authorize the above amount to be charged to my Mastercard__ VISA__
Account #___________________________, EXP: _____, Name on card:____________
Signed: __________________
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VUIMAGE(tm) Version # (upper left corner of main menu): 3.30____ Other_____
Place obtained from : ______________________________________Tel:___________
Main Interest: GIF ___ TIFF ___ PCX ___ View ___ Print ___ Others ___
__________________________________________________________
Type of Computer __________________ Type of Operating System ______________
Type of video card/monitor ________________________________________________
Additional Comments: ______________________________________________________
___________________________________________________________________________
F#: S32-IF90-CBO