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Text File  |  1996-06-25  |  3KB  |  96 lines
  1. ORDER FORM
  2.  
  3. Return to:
  4.  
  5. Classic Software
  6. Unit 2, 19A Wood Street
  7. INGLEWOOD  WA  6052
  8. AUSTRALIA
  9.  
  10. CompuServe ID:  100033,1230
  11. Internet:       100033.1230@compuserve.com
  12. Phone/Fax:      +61 9 271 5407
  13.                 (Local time = Greenwich Mean Time + 8 hours)
  14.  
  15.  
  16. Date: ________________________
  17.  
  18.  
  19. Product                           Price (AUD)           Qty  Subtotal
  20. --------------------------------  --------------------  ---  --------
  21.  
  22. Classic Component Set with        $90 (approx. US$72)   ___  ________
  23.  Source Code +
  24.  Shipping via E-mail
  25.  
  26. Shipping via Post (Airmail)       $10 (approx. US$ 8)   ___  ________
  27.  
  28. --------------------------------  --------------------  ---  --------
  29. Total
  30. --------------------------------  --------------------  ---  --------
  31.  
  32. Notes:
  33. AUD = Australian Dollars.
  34. Unless otherwise stated, all prices are in Australian Dollars.
  35. Prices in US$ are approximate only (based on an exchange rate
  36. of $1 AUD = US$0.80); you will be billed in Australian Dollars
  37. (unless paying by cheque) at the AUD prices shown.
  38. The exact exchange rate used will depend on the exchange
  39. rate at the time the transaction is processed by the bank.
  40.  
  41.  
  42. SHIPPING DETAILS
  43.  
  44. Name:             __________________________________________________
  45.  
  46. Title/Department: __________________________________________________
  47.  
  48. Company:          __________________________________________________
  49.  
  50. Address:          __________________________________________________
  51.  
  52.                   __________________________________________________
  53.  
  54.                   __________________________________________________
  55.  
  56. State:            __________________________________________________
  57.  
  58. Post/ZIP Code:    __________________________________________________
  59.  
  60. Country:          __________________________________________________
  61.  
  62. Phone:            (________)________________________________________
  63.  
  64. Fax:              (________)________________________________________
  65.  
  66. E-mail:           __________________________________________________
  67.  
  68.  
  69. Shipping Method:  [ ] E-mail
  70.                       Internet: [ ] UUEncode [ ] BinHex [ ] Mime
  71.                   [ ] Post (Airmail)
  72.                       Please allow 2-10 days for postal delivery.
  73.  
  74.  
  75. PAYMENT DETAILS
  76.  
  77. Bill To:          __________________________________________________
  78.  
  79. Payment Method:   [ ] Visa
  80.                   [ ] MasterCard
  81.                   [ ] Bank Cheque
  82.  
  83. Card No.:         __________________________________________________
  84.  
  85. Card Name:        __________________________________________________
  86.  
  87. Expires:          __________________________________________________
  88.  
  89. Signature:        __________________________________________________
  90.                   (Required for fax/mail orders)
  91.  
  92. IMPORTANT: It is generally recommended that you do not send credit card
  93.            details via the Internet (unless using CardGuard(r) codes).
  94.  
  95. Thank you for your order.
  96.