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OS/2 Shareware BBS: 8 Other
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ORDER.FRM
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1996-06-02
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ORDER FORM
See dealers.txt for your local dealer.
Send to: Carbon Based Software Fax: [61] 7 5529 1544
PO Box 912 CompuServe 100351,2052
Runaway Bay Qld 4216 sales@carbonbased.com.au
Australia
=======================================================================
Item Unit Price Qty Total
============================= ========== === =======
ZipStream for OS/2 2.X or later : $119.95 ___ [ ] $______
Fully Packaged Product
ZipStream for OS/2 2.X or later : $99.95 ___ [ ] $______
Electronic Registration Only
Media 3 1/2" only
Subtotal $______
Shipping and handling per unit
(Only required for packaged product)
Australia: $5.00 [ ] $______
All other countries: $10.00 [ ] $______
If paying by non Australian Cheque, a
Currency Conversion Charge applies : $8.00 [ ] $______
(This does not apply to Credit Card purchases)
TOTAL $AUS______
Cheque, Bank Drafts, VISA, Master Card, and Australian Bankcard
accepted. Make payable to Carbon Based Software. All prices in
Australian Dollars ($AUS119.95 = $US89.96 or $AUS1.00 = $US0.75 at
01Oct95). Delivery is FOB Biggera Waters Gold Coast Australia.
Prices subject to change without notice.
If paying by charge card please provide the following information.
Bankcard [ ]
Visa [ ]
Master Card [ ] Card#: _____________________________ Exp date: __/__
Cardholder Name: _________________________________ Phone#: ___________
Signature required! _____________________________ (Not required for email)
=======================================================================
Ship to: (Please always fully complete this section)
Name (please print)____________________________________________________
Address _______________________________________________________________
Address _______________________________________________________________
City _________________________ State _______________ ZIP Code _________
Country ______________________ Phone/Fax ______________________________
CompuServe ID: ________________InterNet ID: ___________________________