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- REGISTRATION ORDER FORM RECONCILE VERSION 2.00 FOR WINDOWS
- --------------------------------------------------------------------
-
- Please send this completed form to Michael Quinion Associates:
-
- Post: 18 Pittville Close, Thornbury, BRISTOL, BS12 1SE, UK
-
- Fax: +44 (0)1454 411128
-
- By e-mail: sales@quinion.demon.co.uk
-
- (In your own interests, do not send credit card details
- in open text e-mail. If you can, please use the PGP key
- supplied in the file WINREC.PGP.)
-
- Telephone: If you are paying by credit card ring +44 (0)1454 411128.
-
- You will receive a registration code by fax, email or post. If you
- are requesting master disks (see below) the registration code will
- be sent with them.
-
-
- Your details
- ------------
-
- Name: ________________________________________________
-
- Company/org'n: ________________________________________________
-
- Address: ________________________________________________
-
- ________________________________________________
-
- ________________________________________________
-
- Posttown/city: ________________________________________________
-
- County/State: ________________________________________________
-
- Country: ________________________________________________
-
- Zip/Postcode: ________________________________________________
-
- Email address: ________________________________________________
-
- Phone number: ________________________________________________
-
- Fax number: ________________________________________________
-
-
- Registration
- ------------
- Cost per copy: ú18.00 (site licenses and good discounts available
- for quantity, please ask). If you want a master disk, add ú3.00 for
- carriage per copy (this is available only when you register).
-
-
- Registration: ú____________
-
- Master disk: ú____________
-
- Within the European Union:
-
- -- either add 17.5% VAT: ú____________
-
- -- or (within the EU but outside the UK) provide
- your VAT registration number:
-
- _____________________________________________
-
-
- Total amount due: ú____________
-
-
- Please indicate if you need a receipted invoice: [ ]
-
-
- Payment method:
- ---------------
- We regret it is not possible for us to accept payments in local
- currency unless arrangements have been made beforehand. You may
- either pay in pounds sterling by means of a cheque drawn on a UK
- bank (allow three extra days for clearance), or by one of the
- following credit or debit cards:
-
- Visa [ ] Mastercard [ ] Eurocard [ ] Delta [ ] Switch [ ]
-
-
- Name and initials: _______________________________________________
-
- Card Number: ____________________________ Expiry date: _________
-
-
- I agree to pay the above total amount:
-
-
- Signed: __________________________________________________________
- [signature essential for credit card payments]
-