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Text File  |  1996-08-27  |  1KB  |  43 lines
  1.                Visual Sequence Editor Order Form
  2.  
  3. Send to: Vised
  4.      487 Aquila Place
  5.      Parksville, BC
  6.      Canada
  7.      V9P 1C1
  8.  
  9. Name___________________________________________ Date____________
  10.  
  11. Organization___________________________________ Phone___________
  12.                      
  13. Street_________________________________________ FAX_____________
  14.  
  15. City__________________ Country_________ ZIP/Postal code_________
  16.  
  17. Email___________________________________________________________    
  18.  
  19.  
  20.  
  21.                 ALL AMOUNTS ARE UNITED STATES DOLLARS
  22.  
  23. SINGLE USER LICENSE:    @ $30.00                      = _______ 
  24.  
  25. SITE LICENSE:   Must supply a proper business name.
  26.    3 to  9 computers     @ $21.00 each X ____units     = _______
  27.   10 to 29 computers     @ $19.00 each X ____units     = _______
  28.   30 to 99 computers     @ $15.00 each X ____units     = _______
  29.  100 &  up computers    @ $11.00 each X ____units     = _______
  30.  
  31.         Total (US funds only)                           _______
  32.  
  33. Method of payment:  Cheque__           
  34.                     Money order__ 
  35.                     Purchase order__   
  36.  
  37.  
  38. Purchase order number: (Universities only)______________________               
  39.  
  40.  
  41. Signature_______________________________________________________
  42.  
  43.