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Text File  |  1997-06-19  |  3KB  |  64 lines
  1. ----------------------------------------------------------------------------
  2.               ULTRAFIND FOR MACINTOSH & POWER MACINTOSH
  3.  
  4. JAPAN REGISTRATION FORM                                 PLEASE WRITE CLEARLY
  5. ----------------------------------------------------------------------------
  6. Fax to: 0044-181-941-9666     - or -     Post to: UltraDesign Technology Ltd.
  7.                                                   The Phoenix
  8.                                                   Taggs Island
  9.                                                   Hampton
  10.                                                   TW12 2HA
  11.                                                   United Kingdom
  12.  
  13. Please complete this Registration Form and send it to UltraDesign Technology
  14. together with your payment. You will receive a Serial Number for your copy of
  15. UltraFind in approximately 10 days by normal post (or much faster by email).
  16. ----------------------------------------------------------------------------
  17. Name            :
  18. Organization    :
  19. Mailing Address :
  20.  
  21.  
  22.  
  23. Country         : Japan
  24. E-mail Address  :
  25. ----------------------------------------------------------------------------
  26. License Type                                   |      UK Pounds | = J-YEN *|
  27. -----------------------------------------------|----------------|----------|
  28.                                                |                |          |
  29. UltraFind 1-User License:                      | ___ x ﾂ｣ 25     |  ﾂ･ 4,600 |
  30.                                                |                |          |
  31. UltraFind 5-User License:                      | ___ x ﾂ｣ 87     |  ﾂ･16,000 |
  32.                                                |                |          |
  33. UltraFind 10-User License:                     | ___ x ﾂ｣120     |  ﾂ･22,000 |
  34.                                                |                |          |
  35.                                                | TOTAL:ﾂ｣_______ |          |
  36. ----------------------------------------------------------------------------
  37. * Yen/Pound exchange rate as at 1/7/1997.
  38.  
  39. Your credit card will be charged in UK Pounds. The amount will be converted
  40. automatically into Yen by your credit card company at today's exchange rate.
  41. ----------------------------------------------------------------------------
  42.  
  43. Method of payment: 
  44.  
  45.       ____  Credit Card: JCB / VISA / MASTERCARD (Sorry NO American Express)
  46.                 
  47. Card Number:________/________/________/________/   Expiry date: _____/_____
  48.  
  49. Card Holder's Name: ___________________________
  50.  
  51. Signature: ____________________________________ Today's Date: _____________
  52.  
  53.       ____  Cheque in UK Pounds or US Dollars
  54.  
  55.             * Please note: cheques in UK Pounds must be from a UK bank,
  56.               cheques in US Dollars must be from a US bank.
  57.             * Please make cheques payable to "UltraDesign Technology Ltd."
  58.  
  59.       ____  International Money Order (in UK Pounds)
  60.  
  61.             * Please make money orders to "UltraDesign Technology Ltd."
  62.               and send to our postal address (above).
  63.  
  64. ----------------------------------------------------------------------------