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Text File  |  1995-05-30  |  2KB  |  51 lines
  1. *****************************************************************
  2.                           ULTRAFIND 2.0 FOR MACINTOSH & POWER MACINTOSH
  3.  
  4. REGISTRATION/ORDER FORM                                                             *PLEASE PRINT CLEARLY*
  5. *****************************************************************
  6. Post to:                                                                Fax to:  +44 171 630 9105
  7. UltraDesign Technology Ltd.
  8. Lower Ground Floor 5                                         Email to:  usereg@ultratec.demon.co.uk
  9. 39 St.George's Square
  10. London  SW1V 3QN
  11. United Kingdom
  12. *****************************************************************
  13.  
  14. Registration Name ____________________________________________________
  15.  
  16. Company (if applicable) ________________________________________________
  17.  
  18. Address ____________________________________________________________
  19.  
  20. City ___________________  State ________________  Zip/PostCode ____________
  21.  
  22. Country _______________________  Telephone ____________________________
  23.  
  24. Fax __________________________  Email _______________________________
  25.  
  26. Please send me:
  27.  
  28.           ____  x UltraFind Single User License at 25 UK Pounds or 38 US Dollars
  29.  
  30.                       (please contact us for Site Licenses for 5, 10, 50, 100 or Unlimited Users)
  31.  
  32. I am paying by:
  33.  
  34.           __  Cheque in US Dollars (drawn on a U.S. bank) or in UK Pounds
  35.                 (Cheques should be made payable to "UltraDesign Technology Ltd.")
  36.  
  37.           __  Credit Card:   VISA / MASTERCARD / EUROCARD / JCB          (Sorry NO Amex)
  38.                 (Credit Cards are automatically debited in UK Pounds at the current exchange rate.)
  39.  
  40. Card Number: _______ /_______ /_______ /_______ /    Expiry date: _____/_____
  41.  
  42. Name on Card: ________________________
  43.  
  44. Signature ___________________________  Today's Date _________________
  45.  
  46.                      Thank you for registering!  We hope our software serves you well.
  47. *****************************************************************
  48.  
  49. (Optional Questions) Your Macintosh Model: _________________ System Version: _____
  50.  
  51. Where did you find UltraFind?: ___________________________________________