home *** CD-ROM | disk | FTP | other *** search
/ Stars of Shareware: Programmierung / SOURCE.mdf / programm / windows / c / helped18 / invoice.doc < prev    next >
Encoding:
Text File  |  1993-11-09  |  2.7 KB  |  78 lines
  1.  
  2.                     Help Edit for Windows V1.8 Order Form
  3.  
  4.         NAME:     ______________________________________________________
  5.  
  6.         (COMPANY:) _____________________________________________________
  7.  
  8.         ADDRESS:  ______________________________________________________
  9.  
  10.                   ______________________________________________________
  11.  
  12.         CITY:     ______________________________________________________
  13.  
  14.         COUNTY:   ________________________  Post/Zip Code:  ____________
  15.  
  16.         PHONE:    ______________________________________________________
  17.  
  18.         (E-MAIL ADDRESS:)  _____________________________________________
  19.  
  20.         WHERE DID YOU HEAR OF Help Edit?  ______________________________
  21.  
  22.         ________________________________________________________________
  23.  
  24.         COMMENTS:  _____________________________________________________
  25.  
  26.         ________________________________________________________________
  27.  
  28.  
  29. Basic Registration @ £25.00 ($38 + $7 = $45)                  __________
  30.  
  31. Pro Version (with spell checker) @ £35.00 ($53 + $7 = $60)    __________
  32.           (and FREE copy of INDEX-IT) 
  33.  
  34.         Floppy Disk Type, Tick one               (360K) 5.25"  _________
  35.  
  36.                                                  (1.2M) 5.25"  _________
  37.  
  38.                                                  (720K)  3.5"  _________
  39.  
  40.                                                 (1.44M)  3.5"  _________
  41.  
  42.       Airmail Shipping outside U.K. @ £1.50 ($3)              __________
  43.   (Payments MUST be in Pounds Sterling or US dollars)
  44.  
  45. (The $7 surcharge is to cover Bank charges to convert US funds to Sterling)
  46.  
  47.  
  48.                                                 SUBTOTAL:    __________
  49.  
  50.  
  51.                                                     TOTAL:   __________
  52.  
  53. Please enclose a check payable to Aciran Software Systems; or you may
  54.  use Access, Visa, MasterCard, or EuroCard.  For credit cards,
  55.  please enter the information below:
  56.  
  57.  Card #:__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
  58.  
  59.  Expiration date: ____/____
  60.  
  61.  Signature:  _________________________________________
  62.  
  63.  
  64.         Remit to:         James Herron
  65.                           Aciran Software Systems
  66.                           29 Duncryne Place,
  67.                           Bishopbriggs,
  68.                           Glasgow
  69.                           Scotland G64 2DP
  70.                           United Kingdom
  71.  
  72. Note: If ordering more than one copy, and payment is in US dollars, only
  73. one $7 surcharge is required, provided all payment is on the one check.
  74.  
  75. Checks drawn on an American Bank are perfectly acceptable.
  76. Credit card payments will be made in Pounds Sterling, and NO surcharge
  77. will be made.
  78.