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Text File  |  1990-09-16  |  2KB  |  61 lines
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  2.  
  3.                    PCBREEZE II ORDER FORM
  4.  
  5.  
  6.     PCBreeze Registration - $95 AUD (Australian Dollars)
  7.  
  8. By registering  PCBreeze you  receive  the  latest  enhanced
  9. version, a fully printed and bound manual and user support.
  10.  
  11. This price  includes shipping  and handling Worldwide by Air
  12. Mail -  additional payment required for Courier delivery.
  13.                               
  14. Payment by Bank Draft, Mastercard,        KEPIC Pty Ltd
  15. Visa or Bankcard to:                    4 Steinbeck Place,
  16.                                        Spearwood, WA, 6163,
  17. Phone/Fax: 61 9 418 5512                    AUSTRALIA
  18.                               
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  20.  
  21.  
  22. PAYMENT BY:
  23.  
  24. ( ) Bank Draft    ( ) Mastercard    ( ) Visa    ( ) Bankcard
  25.  
  26.  
  27. FROM:
  28.  
  29. Name:_______________________________________________________
  30.  
  31. Company (If Applicable):____________________________________
  32.  
  33. Address:____________________________________________________
  34.  
  35. ____________________________________________________________
  36.  
  37. ____________________________________________________________
  38.  
  39. ____________________________________________________________
  40.  
  41. ____________________________________________________________
  42.  
  43. Phone: _______________________ Fax: ________________________
  44.  
  45.  
  46. IF PAYING BY CREDIT CARD:
  47.  
  48. Card No: __________________________ Exp. Date:______________
  49.  
  50. Signature of cardholder:
  51.  
  52.  
  53. ___________________________________
  54.  
  55.  
  56. Feel free  to include  comments  or  suggestions  with  this
  57. order.
  58.  
  59.  
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