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Text File  |  1997-04-13  |  3KB  |  82 lines
  1.    ==================================================================
  2.                    Ong Utilities I registration form         
  3.          ONG Utilities I is Copyright (c) 1997 by ONG SoftWare.  
  4.                           All Rights Reserved.                         
  5.    ==================================================================
  6.  
  7.    Note: Each registration of ONG Utilities I comes with only one
  8.          license for ONG Utilities I.
  9.  
  10.               Mail Orders To: BMT Micro
  11.                               PO Box 15016
  12.                               Wilmington, NC  28408
  13.                               U.S.A.
  14.     
  15.                 Voice Orders: 8:00am - 7:00pm EST (-5 GMT)
  16.                               (800) 414-4268 (Orders only)
  17.                               (910) 791-7052 (Orders / Order Inquires)
  18.  
  19.                   Fax Orders: (910) 350-2937 24 hours, 7 days a week
  20.                               (800) 346-1OS2 24 hours, 7 days a week
  21.  
  22.        Online Orders via BBS: (910) 350-8061 10 lines, all 14.4K
  23.                               (910) 799-0923 28.8k v.FC
  24.  
  25.               via Compuserve: 74031,307
  26.                 via Internet: bmt@wilmington.net
  27.                  via AOL    : bmtmicro
  28.  
  29.     We accept Visa, Mastercard, Discover, American Express, Diner's Club,
  30.     money order, cashiers checks, and personal checks.  We also accept
  31.     DM and British currency via registered mail.
  32.  
  33.     Personal checks are subject to clearance.
  34.  
  35.  
  36.         Name: ____________________________________________________________
  37.  
  38.      Company: ____________________________________________________________
  39.  
  40.      Address: ____________________________________________________________
  41.  
  42.               ____________________________________________________________
  43.  
  44.         City: _______________________   State/Province: __________________
  45.  
  46.      Country: ____________________________ Postal Code: __________________
  47.  
  48.        Phone: ____________________________________________________________
  49.  
  50.          Fax: ____________________________________________________________
  51.  
  52.        Email: ____________________________________________________________
  53.  
  54.  
  55.      Product                           Price        Quantity   Total
  56.      --------------------------------------------------------------------
  57.                   ( Funds below specified in US dollars )
  58.  
  59.      _ONG Utilities_I________________  $_14.95__ x  ________ =  $____.___
  60.  
  61.                                                      Subtotal:  $____.___
  62.  
  63.             North Carolina residents, please add 6% sales tax: +$____.___
  64.  
  65.                                             Total:  $____.___
  66.  
  67.  
  68.      Shipping (check one):
  69.  
  70.                ___ Email
  71.                ___ 1st Class Mail
  72.  
  73.     For credit card payment only:
  74.  
  75.       Circle one: VISA / Master / Discover / AMEX / Diner's Club
  76.  
  77.       Credit card number: _____________________________________________
  78.  
  79.          Expiration date: ___/___
  80.  
  81.  Authorization signature: _____________________________________________
  82.