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Text File  |  1995-11-23  |  2KB  |  58 lines
  1.  ThunderBYTE (TBAV) Anti-Virus Upgrade Order Form
  2.  ----------------------------------------------------------------------
  3.  **                  Order TBAV Professional today ..                **
  4.  **              and upgrade to TBAV for Windows '95 FREE            **
  5.  **             Lifetime license for personal use - $79.95           **
  6.  ----------------------------------------------------------------------
  7.  
  8.  You may upgrade by calling ThunderBYTE International +31 (0)24 642 2282
  9.  or you may fax or mail in your order by filling in the form below:
  10.  
  11.  Customer Information:     (Leave blank where not applicable)
  12.  
  13.  Name:           _________________________________________________________
  14.  
  15.  Company:        _________________________________________________________
  16.  
  17.  Address:        _________________________________________________________
  18.  
  19.                  _________________________________________________________
  20.  
  21.  City:           _____________________________________  State:  __________  
  22.  
  23.  Zip:            ___________  Country: ___________________________________
  24.  
  25.  Home Phone:     ____________________  Work Phone: _______________________
  26.  
  27.  Fax:            ____________________  
  28.  
  29.  E-mail/CIS ID:  _________________________________________________________
  30.  
  31.  
  32.  Pricing (U.S. funds ONLY) 
  33.  
  34.     TBAV Professional  ________      copies at $79.95 each ________
  35.                  
  36.   Applicable Sales Taxes must be added - Above mentioned prices are 
  37.   excluding Value added Tax: Shipping and Handling Charge will be
  38.   approximately $10.00/order.                        
  39.  
  40.                                        Total Payment:     ___________
  41.  
  42.  Credit Card Information:
  43.        [ ] Visa          [ ] MasterCard             
  44.        
  45.  Card Number:            ____________________________ Exp.Date: __________ 
  46.  
  47.  Card Holder Signature:  _________________________________________________
  48.  
  49.  [Applicable taxes must be added, where required to do so by law]
  50.  
  51.  Where to send the Order Form:     
  52.  
  53.         ESaSS-ThunderBYTE Headquarters
  54.         ---  P.O. Box 1380
  55.              6501 BJ Nijmegen, The Netherlands
  56.              Tel: +31 (0)24 642 2282
  57.          Fax: +31 (0)24 645 0899
  58.