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Text File  |  1993-03-04  |  3KB  |  69 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. County ______________________________ Post 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. Payment: [ ] Visa/Access (see below)       [ ] Cheque
  22.      [ ] Cash (take your chances)    [ ] Other (no chickens, please)
  23.  
  24. I'd like to order the following Alchemy Mindworks shareware:
  25.  
  26.                                Sterling    
  27. [ ] Graphic Workshop                    £29.00
  28. [ ] Graphic Workshop for Windows            £29.00        
  29. [ ] GrafCat                        £29.00
  30. [ ] Image Gallery                    £29.00
  31. [ ] Desktop Paint (monochrome) including Font Toolkit    £29.00
  32. [ ] Desktop Paint 16                              £29.00
  33. [ ] Desktop Paint 256                    £29.00
  34.  
  35. _______________________________________________________________________
  36.  
  37.  
  38. Add 2 pounds per order for P&P (UK mainland)         P&P__________
  39. Add 3 pounds per order for The EEC
  40. Add 5 pounds per order for Non-EEC countries
  41.  
  42. If your order is for delivery in the UK or The EEC
  43. add VAT at the UK rate (Currently 17.5%)             VAT__________
  44.  
  45.                              TOT__________
  46. Cheques payable to PD & SHAREWARE LIBRARY LTD please.
  47. ______________________________________________________________________
  48.  
  49. Payment by CREDIT CARD. We can accept Visa/Access/Mastercard ONLY.
  50. We will need the following information:
  51.  
  52. Credit card number: ______________________________________________________
  53.  
  54. Expiry date: _____________________________________________________________
  55.  
  56. Bank the card's drawn on: ________________________________________________
  57.  
  58. The name as it appears on the card: ______________________________________
  59.  
  60. The signature of its owner authorizing us
  61. to debit it for the amount indicated above: ______________________________
  62.  
  63. _______________________________________________________________________
  64.  
  65. Mail this form to:The Public Domain And Shareware Library
  66.           Winscombe House, Beacon Road, Crowborough
  67.           Sussex TN6 1UL. If you are ordering by
  68.           credit card you can FAX it on 0892 667473
  69.