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Text File  |  1996-05-15  |  2KB  |  61 lines
  1.  CD Player     Registration Form  v1.0 r1000
  2.  Return to:     Fugue Software           Voice +61 7 824 2843
  3.                 P.O. Box 425              Fax  +61 7 824 2843 (same)
  4.                 CAPALABA  QLD 4157       Compuserve 100036,311
  5.                 AUSTRALIA          Internet 100036.311@compuserve.com
  6.  
  7.  
  8.  Name ______________________________________________________________
  9.  
  10.  Company ___________________________________________________________
  11.  
  12.  Address ___________________________________________________________
  13.  
  14.          ___________________________________________________________
  15.  
  16.  Diskette size:     ____ 5.25" acceptable       ____ 3.5" required
  17.                     [ ]  please send high density disks only (3.5" or 5.25")
  18.  
  19.  
  20. Please send me a registered copy of CD Player
  21.    Check here for information on:    [__] Multi-system Licenses
  22.                                      [__] Reseller Pricing
  23.                                      [__] Catalog of products
  24.  Where did you hear about CD Player?
  25.  
  26.   __________________________________________________________________
  27.  
  28.   I agree to abide by the CD Player License agreement.
  29.    Signed
  30.           ___________________________
  31.                                                Quantity   Price
  32.  CD Player Disks only
  33.      ( AUD $15    USD $12   UK £8 )           ________   __________
  34.  
  35.  ____________________________________         ________   __________
  36.  
  37.  ____________________________________         ________   __________
  38.  
  39.  ____________________________________         ________   __________
  40.  
  41.  
  42.  Shipping charges, per copy: (see below)                  __________
  43.  
  44.                                 Total enclosed:           __________
  45.  
  46.  Postage to:
  47.  Australia       $3 AUD
  48.  New Zealand     $5 AUD    $7 NZD
  49.  USA             $8 AUD    $6 USD
  50.  UK & Europe    $10 AUD    $8 USD     £4 UK
  51.                     I wish to pay by:
  52.      [ ]   Visacard                     [ ]   Cheque  (Check)
  53.      [ ]   Mastercard                   [ ]   Bankcard (Australia)
  54.  
  55. Credit Card:  __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
  56.  
  57.  Expiry Date:  ___/___ Name: _________________________________________
  58.  
  59.  Signature :  _________________________________________
  60. 
  61.