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Text File  |  1995-01-02  |  1KB  |  48 lines
  1.         Softronics MultiMedia Logic V1.0 Order Form
  2.  
  3. License type        [ ] Personal License $34.95 US
  4.             [ ] Site License     $99.95 US
  5.  
  6.             Full Name (min 4 chars):
  7.  
  8.             Personal license must be a personal name.
  9.  
  10.             Site license must be an organization name.
  11.             Site licenses do not cover entire school
  12.             systems or schools within a town.
  13.  
  14.                         Price includes updates (1.1, 1.2 etc.).
  15.             Price includes taxes, S+H (for US only).
  16.             Prices subject to change without notice.
  17.  
  18. Pay for it by        [ ] Cash US (least preferred)
  19.             [ ] Personal or Bank Check (US Bank only)
  20.             [ ] Charge Card
  21.                 [ ] Master Card
  22.                 [ ] Visa
  23.                 [ ] Discover
  24.                 [ ] American Express
  25.                 Card Number:
  26.                 Expiration Date:
  27.                 Name on Card:
  28.                 Signature: _______________________
  29.                 Address:
  30.  
  31. Send your password by    [ ] Fax
  32.                 Fax #:
  33.             [ ] Email
  34.                 Electronic Address:
  35.             [ ] Postal Mail (no media will be sent)
  36.                 Name:
  37.                 Address:
  38.  
  39. Send this form by    [ ] Fax (no cover pages needed)
  40.                 Fax #: (508) 393-0854
  41.             [ ] Postal Mail
  42.                 Softronics, Inc.
  43.                 33 Thoreau Road
  44.                 Northboro MA 01532
  45.                 USA
  46.  
  47. Obtain Media by        [ ] WWW
  48.                 http://www.softronix.com