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  1. -------------------------------------------------------------------------
  2. |       Deus Ex Machina Communications / Pik A Program Order Form       |
  3. -------------------------------------------------------------------------
  4.                   THANK YOU FOR REGISTERING YOUR SHAREWARE!
  5.  
  6. Important: If you are ordering by mail, e-mail, or fax, please completely
  7. fill out this form and send it in.  If you are sending a check or money
  8. order, please make sure that payment is made in US funds drawn on a US bank.
  9.  
  10. Technical support is not available from Pik A Program. For any technical
  11. help, please contact Deus Ex Machina Communications directly online:
  12.      CompuServe: 100651,1256   (or GO PIKAPRO (PCVENH, section 18))
  13.        Internet: http://www.demcom.com
  14. See UFO.FAQ and SUPPORT.TXT for further support information.
  15.  
  16. For registered users of any program which Pik A Program distributes, who do
  17. not already have access to Compuserve, we can supply a FREE Compuserve
  18. membership with a $15.00 usage credit and acess software. This is much more
  19. than enough online time to have your technical support questions answered,
  20. and still have some fun!
  21.  
  22. You may mail, fax, e-mail, or phone in your order.  Please send the completed
  23. registration form, along with payment to Pik A Program, Inc.
  24.  
  25. -------------------------------------------------------------------------
  26. |        Deus Ex Machina Communications/Pik A Program ORDER FORM        |
  27. -------------------------------------------------------------------------
  28.   Pik A Program (tm)              TOLL FREE (ORDERS ONLY) 1-800-TOREGISTER
  29.   13 Saint Marks Place                                          (867-3447)
  30.   NY, NY  10003                   Telephone (212) 598-4939
  31.   USA                             Fax       (212) 228-5879
  32.                                   Compuserve: 74777,3233
  33.                                   Internet: 74777.3233@compuserve.com
  34.  
  35. __________________________________________________________________________
  36. (Name)
  37.  
  38. __________________________________________________________________________
  39. (Company)
  40.  
  41. __________________________________________________________________________
  42. (Street1)
  43.  
  44. __________________________________________________________________________
  45. (Street2)
  46.  
  47. __________________________________________________________________________
  48. (Town)                                   (State)              (Zip)
  49.  
  50. __________________________________________________________________________
  51. (Telephone)                   (Fax)               (Country if outside USA)
  52.  
  53. __________________________________________________________________________
  54. (e-mail address)
  55.  
  56. Shipping $4.00 for your entire order, whether you order 1 or 100 items.
  57.  
  58.  
  59.  QUANTITY     ITEM                            PRICE EACH          TOTAL
  60. --------------------------------------------------------------------------
  61.          UFO 96.2 - Universal File Operator   US  $25.00    US$
  62. --------------------------------------------------------------------------
  63.          Shipping                             US  $ 4.00    US$   4.00
  64. --------------------------------------------------------------------------
  65.               TAX  (NYS residents only)            ___ %    US$
  66. --------------------------------------------------------------------------
  67.                                                   TOTAL:    US$
  68.                                                           ================
  69. Orders are sent on 3.5" diskettes unless otherwise requested. Prices good
  70. through 12/96, subject to change thereafter.
  71. I am paying by:
  72. ( ) CHECK     ( ) VISACARD    ( ) MASTERCARD     ( ) AMERICAN EXPRESS
  73. ( ) CASH  (by registered mail only, please)      ( ) DISCOVER CARD
  74.  
  75.                      Number ______-______-______-______  Exp. date ___-___
  76.  
  77. ________________________________________________      ______-______-______
  78. (Signature)                                           (Date)
  79.  
  80. We would appreciate it if you would tell us where did you first heard
  81. about this program.  Thanks for your cooperation.
  82. [] BBS/Online service - which one?______________________________________
  83. [] Internet - which site?______________________________________
  84. [] Friend    [] retail store package    [] CD-ROM ______________________
  85. [] magazine - which one?_________________________________
  86. [] other - ______________________________________________               
  87.