Payment by credit card for shareware
                                "EpsonMultiUsers9"
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            Postal courier                 |              Fax
                                           |
          Send this form to:               |         Send this form to:
               S.E.S                       |
         1, rue de stockholm               |     From France: 02 31 14 90 18
            75008. Paris                   |    From Foreign: +33 2 3114 9018 
               FRANCE                      |
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 Pricing  
 
 To use EpsonMultiUsers9, each of your Mac needs a license. Pricing varies by the
 number of licenses you want to purchase. All updates to newer versions will be free
 of charge for registered users. Prices inclusive of taxes. 
 
                        Number      French 
                     of Licenses    Francs       Euros     $USD
                                                   
                           1         109          17       16
                           3         179          27       26
                           5         259          40       39
                          10         390          61       59
                          20         520          82       79
                          50         669         103       99
                
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 Your order
       
 Currency
   If you reside in France, thank you to pay in French Francs. Euros only for
   countries of the European community. Dollars US for all other countries.
        

        Clients           Product            Price and Currency  

          ...          EpsonMultiUsers9      ..................
 
                           Total             ..................
 
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            Your name: ...............................................
          
  Your e-mail address: ...............................................
          
         Your country: ...............................................
           
      Your fax number: ...............................................

   Your printer model: ...............................................   
           
    Credit card type  (Visa,American Express or Eurocard/Mastercard):
              
              ...............................................
              
                      
    Your credit card number: ...................................
    
                Expiry date: ...................................
              
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 Authorization
    
             I authorize S.E.S to charge my credit card for
                       (Amount and Currency)
                        
                 ......................................
                        
                        
                             signature:
                        


 
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