home *** CD-ROM | disk | FTP | other *** search
/ Libris Britannia 4 / science library(b).zip / science library(b) / ELECTRON / 3330.ZIP / LOGIC.ZIP / ORDER.FRM < prev    next >
Text File  |  1990-11-04  |  3KB  |  52 lines
  1.  
  2.  
  3.        ________________________________________________________
  4.       |                                                        |
  5.       |         Dr. A. J. Warren                               |
  6.       |          3 Plevna Terrace                              |
  7.       |           Bingley BD16 4BX                             |
  8.       |            West Yorkshire                              |
  9.       |                                                        |
  10.       |________________________________________________________|
  11.       |             O R D E R     F O R M                      |
  12.       |                                                        |
  13.       |     Name:____________________________________          |
  14.       |            (or name of educational establishment       |
  15.       |                if a site licence is required.)         |
  16.       |                                                        |
  17.       |     Address:______________________________________     |
  18.       |                                                        |
  19.       |             ______________________________________     |
  20.       |                                                        |
  21.       |             ______________________________________     |
  22.       |                                                        |
  23.       |     Date:_____/_____/_____  (Fill out form completely) |
  24.       |________________________________________________________|
  25.       |            DESCRIPTION      |# | Price |  Each  |Total |
  26.       |_____________________________|__|_______|________|______|
  27.       |1. Individual User Licence   |  | 20.00 |  25.00 |      |
  28.       |       Shipping and Handling |  |  5.00 | Pounds |      |
  29.       |_____________________________|__|_______|________|______|
  30.       |2. School Site Licence       |  | 30.00 |  35.00 |      |
  31.       |       Shipping and Handling |  |  5.00 | Pounds |      |
  32.       |_____________________________|__|_______|________|______|
  33.       |3. Further Edu. Site Licence |  | 70.00 |  75.00 |      |
  34.       |       Shipping and Handling |  |  5.00 | Pounds |      |
  35.       |_____________________________|__|_______|________|______|
  36.       |4. University Site Licence   |  |150.00 | 155.00 |      |
  37.       |       Shipping and Handling |  |  5.00 | Pounds |      |
  38.       |_____________________________|__|_______|________|______|
  39.       |    ***** Note that Colleges of Higher Education and    |
  40.       |    Polytechnics should register as for Universities.   |
  41.       |________________________________________________________|
  42.       | (International Orders - Add  10%)           |          |
  43.       | ===============  TOTAL ENCLOSED  ========== |          |
  44.       |_____________________________________________|__________|
  45.       |                                                        |
  46.       |      Individual orders must be accompanied by a cheque |
  47.       |                                                        |
  48.       | Disk type required : 5-1/4" ___  3-1/2" ___            |
  49.       |                                                        |
  50.       |________________________________________________________|
  51.  
  52.