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- ΓòÉΓòÉΓòÉ 1. Order Form ΓòÉΓòÉΓòÉ
-
-
- Send to: Carbon Based Software Fax: [61] (75) 29 1544
- PO Box 912 CompuServe 100351,2052
- Runaway Bay Qld 4126
- Australia
-
- =======================================================================
- Item Unit Price Qty Total
- ============================= ========== === =======
-
- ZipStream for OS/2 2.X or higher : $89.95 ___ [ ] $______
- Fully Packaged Product
-
- ZipStream for OS/2 2.X or later : $79.95 ___ [ ] $______
- Electronic Registration Only
-
- Media 3 1/2" (only)
- Subtotal $______
-
- Shipping and handling per unit
- (Only required for packaged product)
- Australia: $5.00 [ ] $______
- All other countries: $10.00 [ ] $______
-
- If paying by non Australian Cheque, a
- Currency Conversion Charge applies : $8.00 [ ] $______
- (This does not apply to Credit Cards)
- TOTAL $AUS______
-
- Cheque, Bank Drafts, VISA, Master Card, and Australian Bankcard are
- accepted. Make payable to Carbon Based Software. All prices in
- Australian Dollars ($AUS89.95 = $US67.46 or $AUS1.00 = $US0.75 at
- 01Dec94). Delivery is FOB Biggera Waters Gold Coast Australia.
-
- Prices subject to change without notice.
-
- If paying by Charge Card please provide the following information.
-
- Bankcard [ ]
- Visa [ ]
- Master Card [ ] Card#: _____________________________ Exp date: __/__
-
- Cardholder Name: _________________________________ Phone#: ___________
-
- Signature required! _____________________________
- (not required for email orders)
-
- =======================================================================
-
- Ship to: (Please always fully complete this section)
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- Name (please print)____________________________________________________
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- Address _______________________________________________________________
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- City _________________________ State _______________ ZIP Code _________
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- Country ______________________ Phone/Fax ______________________________
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- CompuServe ID: ________________InterNet ID: ___________________________
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