home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
The Complete Encyclopedia of Games 1
/
Microforum-Over1000GamesVol1-Win31-CD1of2.iso
/
new
/
prog27
/
order.doc
< prev
next >
Wrap
Text File
|
1993-09-26
|
3KB
|
54 lines
ORDER FORM
To: ARK ANGLES Phone: (047) 588100
24 Alexander Ave Intl+61-47-588100
Hazelbrook NSW 2779 Fax: (047) 588638
AUSTRALIA Intl+61-47-588638
From: Name ______________________________________________________________
Company ______________________________________________________________
Address ______________________________________________________________
Town _____________________________ State _________ Code _________
Country ______________________________________________________________
Phone _____________________________ Fax ___________________________
Where did you obtain the program(s)? _______________________________________
Computer: [ ] XT [ ] AT/286 [ ] 386SX [ ] 386DX [ ] 486 [ ] >486
Memory Size: ____________ Hard Disk Size: __________
Floppies: [ ] 5.25" 360K [ ] 5.25" 1.2M [ ] 3.5" 720K [ ] 3.5" 1.44M
Screen: [ ] Mono [ ] Herc [ ] CGA [ ] EGA [ ] VGA [ ] >VGA
Dos Version: ________ Windows Version: _________ OS/2 Version: _________
_____________________________________________________ ________ ___________
| P R O D U C T / L I C E N S E | Q T Y | P R I C E |
|_____________________________________________________|________|___________|
| | | |
|_____________________________________________________|________|___________|
| | | |
|_____________________________________________________|________|___________|
| | | |
|_____________________________________________________|________|___________|
| | | |
|_____________________________________________________|________|___________|
| Shipping | $5.00 |
|______________________________________________________________|___________|
| T O T A L | |
|______________________________________________________________|___________|
[ ] Bankcard [ ] Mastercard [ ] Visa [ ] Cash/Cheque/Draft/Money Order
Credit Card Number _______ _______ _______ _______ Expiry Date ____ / ____
Cardholders Name _________________________________________________________
Signature _______________________________ Date __________________