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Text File  |  1992-03-31  |  4KB  |  115 lines
  1.  
  2.                   Annual Support Maintenance Plan Order Form
  3.                   ==========================================
  4.  
  5.  
  6. Please mail or fax this order form to: 
  7.  
  8.                    InterSys Micronics Limited
  9.                    Sterling House, North Clifton St
  10.                    Lytham St Annes, Lancashire FY8 5HW
  11.                    Tel: 0253 794928  Fax: 0253 794181
  12.  
  13.  
  14. Please complete the following:
  15.  
  16.      Name: _______________________________________________________________
  17.  
  18.      Company: ____________________________________________________________
  19.                                      
  20.      Address: ____________________________________________________________
  21.   
  22.      Town: ________________________ County: ______________________________
  23.  
  24.      Post Code: _________________  Country: ______________________________
  25.  
  26.      Daytime Telephone(s): _______________________________________________
  27.  
  28.      Program Obtained From: ______________________________________________
  29.  
  30.      Program Obtained Date: ______________________________________________
  31.  
  32.      Program Version #: ____________________ Serial #: ___________________
  33.                                                                     
  34.      Computer Type: ______________________________________________________
  35.  
  36.      Today's Date: _______________________________________________________
  37.  
  38.  
  39.  
  40. [ ]  Yes, I would like to subscribe to your Annual Support Maintenance Plan
  41.      which entitles me to receive free phone support, updates and info on
  42.      new products.
  43.  
  44.      I am enclosing:
  45.  
  46.      [ ]  A cheque for £50.00 + VAT payable to InterSys Micronics Ltd
  47.  
  48.      [ ]  Charge to my Visa/Access Account:
  49.  
  50.              Card Number: ____________________  Expiration Date: _________
  51.  
  52.              Name On Card: _______________________________________________
  53.  
  54.              Signature of cardholder: ____________________________________ 
  55.  
  56.  
  57. * NOTE: PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE
  58.  
  59.   
  60.  
  61.                          Software Upgrade Order Form
  62.                          ===========================
  63.  
  64. >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> COMPANY NAME
  65. Please mail or fax this order form to: 
  66.  
  67.                    InterSys Micronics Ltd
  68.                    Sterling House, North Clifton St
  69.                    Lytham St Annes, Lancashire, FY8 5HW
  70.                    Tel: 0253 794928  Fax: 0253 794181
  71.  
  72.  
  73. I am a PERFORMER Personal Edition user and would like to order the following:
  74.  
  75.   ____  Personal Edition User Manual .......... @ £50.00* ea     £ ________  
  76.  
  77.   ----  Upgrade to Professional
  78.         Single Version ........................ @ £295.00* ea    £ ________
  79.  
  80.   ----  Upgrade to Professional
  81.         LAN 5 Users Version ................... @ £695.00* ea    £ ________
  82.  
  83.   ----  Upgrade to Professional
  84.         LAN 25 Users Version .................. @ £1,295.00* ea  £ ________
  85.  
  86.   ----  Upgrade to Professional
  87.         LAN Unlimited Users Version ........... @ £1,895.00* ea  £ ________
  88.  
  89.                                                          Subtotal  ________
  90.  
  91.                                                          Carriage  __10.00_
  92.                               
  93.                                                          VAT       ________
  94.  
  95.                                                          Total   £ ________
  96.  
  97. * NOTE: PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE
  98.  
  99.  
  100. Name: __________________________________  Phone :  _______________________
  101.  
  102. Address: _________________________________________________________________
  103.       
  104. Town: _____________________ County: _____________  Post Code: ____________
  105.  
  106. Credit Card No.: _______________________  Card Holder: ___________________
  107.  
  108. Expiration Date: ____________________  Order No if applicable.: __________
  109.  
  110.  
  111. Signature : _______________________________________  Date: _______________ 
  112.  
  113.  
  114.  
  115.