home *** CD-ROM | disk | FTP | other *** search
/ Freesoft 1999 February / Freesoft_1999-02_cd.bin / Recenz / Utility / Y2K / BugFix / bugfix.exe / Y2KORDER.TXT < prev   
Text File  |  1999-03-01  |  2KB  |  65 lines
  1. 2A31FE34
  2. Contact Bugfix by phone 0800-328-4157 or WEB SITE http://www.bugfix.co.uk 
  3. Email: sales@bugfix.co.uk or press F3 to print a FAX order form.
  4. [fail]  To fix this P.C. call 0800-328-4157 
  5. [start]
  6.                         BUGFIX FAX ORDER APPLICATION.
  7.                        ******************************
  8.  
  9. Please complete the following in full and Fax to: 01722-322-198
  10.  
  11. Please supply a key code for the following Computer ID Number and deliver
  12. that code by (delete as apropriate) Fax/Post/E-Mail
  13. Post To: Bugfix,P.O. Box 1725, Salisbury, SP1 2UL 
  14.  
  15. Computer ID Number =
  16.  
  17.                               DELIVERY DETAILS:
  18.                               *****************
  19.  
  20. Mr/Mrs/Ms:   First Name:................... Last Name:....................
  21.  
  22. Address 1:............................................
  23.  
  24. Address 2:............................................
  25.  
  26. City:.................................................
  27.  
  28. State/Province:....................   Zip/Postal Code:....................
  29.  
  30. Country:....................
  31.  
  32. Telehone:...............    Fax:...............    E-Mail:...............
  33.  
  34.  
  35.                  CARDHOLDER ADDRESS IF DIFFERENT FROM ABOVE:
  36.                  *******************************************
  37.  
  38. Mr/Mrs/Ms:   First Name:................... Last Name:....................
  39.  
  40. Address 1:............................................
  41.  
  42. Address 2:............................................
  43.  
  44. City:.................................................
  45.  
  46. State/Province:.....................  Zip/Postal Code:....................
  47.  
  48. Country:....................
  49.  
  50.  
  51.                               PAYMENT DETAILS:
  52.                               ****************
  53.  
  54. Credit card type:...................... Credit Card Number:...............
  55.  
  56. Name on Card:.......................... Expiry Date (mm/yy):..............
  57.  
  58.  
  59. I authorise you to debit £29.99 from the above credit card.
  60.  
  61. Signature:.............................
  62.  
  63.  
  64.  
  65.