ATARI COMPUTER ENTHUSIASTS (NSW) G.P.O. BOX 4515, SYDNEY, 2001, FAX PHONE: 02 6658416 ---------------------------------------------------------------------------- ORDER FORM FOR PD SOFTWARE FROM THE ACE PD LIBRARY ---------------------------------------------------------------------------- PLEASE PRINT:- NAME:___________________________________________________________ STREET:___________________________________________________________ TOWN:______________________ STATE:______ POST CODE:______ HOME PHONE: (_____)________________ TICK BOXES: [ ] MONEY ORDER [ ] CHEQUE [ ] CASH [ ] VISA [ ] MASTERCARD [ ] BANKCARD ---------------------------------------------------------------------------- CREDIT CREDIT CARD CARD NUMBER: ________-________-________-________ EXPIRY DATE : ___/___ ---------------------------------------------------------------------------- SIGNED:______________________ DATE:___/___/___ MEMBERSHIP #: ____________ FOR: [ ] PREPARED ST SOFTWARE OR [ ] CUSTOM ST SOFTWARE [ ] SINGLE SIDED 360K DRIVE OR [ ] DOUBLE SIDED 720K DRIVE ---------------------------------------------------------------------------- NON-MEMBERS PRICES $10.00 PER DISK INCLUDES POSTAGE ---------------------------------------------------------------------------- ACE(NSW) MEMBERS DISK PRICES 1 - 9 DISKS = $ 7.00 PER DISK INCLUDES POSTAGE 10 + DISKS = $ 6.00 PER DISK INCLUDES POSTAGE CUSTOM DISK = $10.00 PER DISK INCLUDES POSTAGE ---------------------------------------------------------------------------- PRE-PREPARED CUSTOM DISK INFO ITEM DISK NO. COST ITEM DISK NO COST SIDE PROGRAM NAME 1 _________ ____ 1 _________ ____ ____ ______________ 2 _________ ____ 2 _________ ____ ____ ______________ 3 _________ ____ 3 _________ ____ ____ ______________ 4 _________ ____ 4 _________ ____ ____ ______________ 5 _________ ____ 5 _________ ____ ____ ______________ 6 _________ ____ 6 _________ ____ ____ ______________ 7 _________ ____ 7 _________ ____ ____ ______________ 8 _________ ____ 8 _________ ____ ____ ______________ 9 _________ ____ 9 _________ ____ ____ ______________ 10_________ ____ 10 _________ ____ ____ ______________ TOTAL VALUE: $ ____ TOTAL MONEY SENT = $_______ ---------------------------------------------------------------------------- OFFICE USE DATE RECEIVED .../.../... DATE SENT .../.../... CERT MAIL REF #______ RECEIPT # .............. OFFICERS SIGNATURE .......................... ----------------------------------------------------------------------------