home *** CD-ROM | disk | FTP | other *** search
/ Media Share 9 / MEDIASHARE_09.ISO / print / splt250.zip / ORDER.FRM < prev    next >
Text File  |  1993-01-03  |  2KB  |  64 lines
  1.       Order Form for SPLOT - The Pen Plotter Simulator (MS-DOS version)
  2.  
  3.  Please, study carefully the file LICENCE.DOC before you complete this form.
  4.  
  5.               To mail this form, please use a registered mail
  6.                  or registered air mail from outside Europe.
  7.  
  8.  
  9.  Your Name: _____________________________________________________________
  10.  
  11.  Company: _______________________________________________________________
  12.  
  13.  Address: _______________________________________________________________
  14.  
  15.     City: _____________________________ Prov/State: _____________________
  16.  
  17.  Country: _____________________________ ZIP/Postal: _____________________
  18.  
  19.  
  20.  If you are registered user already, your serial number: ________________
  21.  
  22.   Licence:     [ ]  single user         [ ]  multisystem site
  23.  
  24.   Disk:        [ ]  5 1/4 inch          [ ]  3 1/2 inch
  25.  
  26.   Payment:     [ ]  Cash (money enclosed)
  27.                [ ]  Bank or travelers cheque (payable in US funds)
  28.                [ ]  Bank Transfer to Zivnostenska Bank Prague
  29.                Author can NOT accept payment via credit card numbers !
  30.  
  31.   I'd like to order the SPLOT program for the following plotter type(s):
  32.  
  33.   [ ] HP 7470A ............................................ ___________ $
  34.  
  35.   [ ] HP 7475A ........................................... ____________ $
  36.  
  37.   [ ] HP 7440A ColorPro .................................. ____________ $
  38.  
  39.   [ ] HP 7550A ........................................... ____________ $
  40.  
  41.   [ ] HP DraftPro ........................................ ____________ $
  42.  
  43.   [ ] HP DraftMaster ..................................... ____________ $
  44.  
  45.   [ ] Roland DXY ......................................... ____________ $
  46.  
  47.   Shipping (Outside Europe) .............................. ____________ $
  48.  
  49.   TOTAL AMOUNT ........................................... ____________ $
  50.  
  51.  
  52.   Your comments: ________________________________________________________
  53.  
  54.   _______________________________________________________________________
  55.  
  56.   _______________________________________________________________________
  57.             (add any additional comments you wish separately)
  58.  
  59.  
  60.         Mail this form to:      Alexandr Novy
  61.                                 Havlickova 2209
  62.                                 390 01 TABOR
  63.                                 Czech Republic
  64.