home *** CD-ROM | disk | FTP | other *** search
/ Top 101 Multimedia Shareware '93 / Top 101 Multimedia Shareware 1993.iso / conforma / order.frm < prev    next >
Text File  |  1990-08-22  |  2KB  |  57 lines
  1.  
  2.  
  3.  
  4.      Con>Format  Version 1.07
  5.  
  6.  
  7.      Mail to:
  8.  
  9.                SYDEX
  10.                P.O. Box 5700
  11.                Eugene, OR  97405
  12.  
  13.                             O R D E R   F O R M
  14.  
  15.  
  16.                                Name __________________________________
  17.  
  18.                             Company __________________________________
  19.  
  20.                             Street  __________________________________
  21.  
  22.            City, State, Zip/Country __________________________________
  23.  
  24.                                     __________________________________
  25.  
  26.  
  27.           Registration Fee for Single-
  28.           System Con>Format License     $15.00 ...........___________
  29.  
  30.           Registration Fee for Multi-
  31.           System Site License           $50.00 ...........___________
  32.  
  33.           Additional Shipping outside
  34.           of United States and Canada    $5.00 ...........___________
  35.           (We airmail all foreign shipments)
  36.  
  37.  
  38.           TOTAL...........................................___________
  39.  
  40.           Please indicate payment method:
  41.  
  42.           Purchase Order ___  Check/MO ___  VISA ___  MasterCard ___
  43.  
  44.           Credit Card No._______________________________ Exp. ________
  45.  
  46.           Signature_________________________________  Date ___________
  47.  
  48.           We normally ship 5.25" 360K diskettes.  Check here if you
  49.           need Con>Format on 3.5" 720K diskette...................________
  50.  
  51.           Where did you learn of Con>Format? _____________________________
  52.  
  53.           Check here if you're interested in media/file conversion
  54.           from non-CP/M systems...............................________
  55.  
  56.  
  57.