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INVOICE.DOC
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1993-11-22
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ACIRAN V3.6 REGISTRATION FORM
NAME: ______________________________________________________
COMPANY: ______________________________________________________
ADDRESS: ______________________________________________________
______________________________________________________
CITY: ______________________________________________________
COUNTY: ________________________ Post Code: ________________
PHONE: ______________________________________________________
E-MAIL ADDRESS: _______________________________________________
WHERE DID YOU RECEIVE Aciran? _________________________________
________________________________________________________________
COMMENTS: _____________________________________________________
________________________________________________________________
Registration @ £45.00 £__________
Floppy Disk Type, Tick one 5.25" _____
3.5" _____
Shipping outside U.K. @ £1.50 __________
(Payments MUST be in Pounds Stering)
SUBTOTAL: £__________
TOTAL: £__________
Please enclose a check payable to Aciran Software Systems; or you may
use Access, Visa, MasterCard, or EuroCard. For credit cards,
please enter the information below:
Card #:__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
Expiration date: ____/____
Signature: _________________________________________
Remit to: Aciran Software Systems
29 DunCryne Place,
BishopBriggs,
Glasgow
Scotland G64 2DP