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Text File  |  1998-05-23  |  2KB  |  68 lines
  1.         Familiar Order Form for Payment in US Dollars
  2.         ---------------------------------------------
  3.  
  4. Please register me as a licensed Familiar user, and send me a copy of
  5. the latest release.
  6.  
  7. Name:___________________________________________
  8. Company:________________________________________
  9. Address:________________________________________
  10. ________________________________________________
  11. ________________________________________________
  12. Phone:__________________________________________
  13. Fax:____________________________________________
  14. E-mail:_________________________________________(Required if ordering
  15.                                                  with no disks)
  16.  
  17.  
  18.  
  19.  
  20.  
  21.             Payment Due (see price list)
  22.             ----------------------------
  23.  
  24.  
  25. License Type (Please Tick ONE)
  26.  
  27.         Single User, No Disks   _______
  28.         Single User, Disks      _______
  29.  
  30.  
  31. Registration Price
  32.  
  33.         License Price               $_________
  34.         Price x ____ copies         $_________
  35.         Total Payment               $_________
  36.  
  37.         Check/Draft No:             ______________________
  38.                                     Payable To "Red When Excited Ltd"
  39.  
  40.         Require Invoice to be Sent? Yes / No
  41.  
  42. Signed:
  43.  
  44. Date:
  45.  
  46.  
  47. When you have filled in the above details, mail this to:
  48.  
  49.     RED When Excited Ltd
  50.     15 Edgehill Road
  51.     Aberystwyth
  52.     Ceredigion
  53.     UNITED KINGDOM
  54.     SY23 1LZ.
  55.  
  56.                 Optional Information
  57.                 --------------------
  58.  
  59. How did you hear about Familiar?__________________________
  60. __________________________________________________________
  61.  
  62. Any Comments:_____________________________________________
  63. __________________________________________________________
  64. __________________________________________________________
  65.  
  66.  
  67.             Thank you for your interest in this product.
  68.