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Text File  |  1995-11-14  |  2KB  |  65 lines
  1.                        EARTH WORDS 1.0
  2.                       Registration Form
  3.                       =================
  4.  
  5. Right to Left Software               or: Right to Left Software
  6. 3332 Yonge Street #94034                 2316 Delaware Ave. #220
  7. Toronto, Ontario M4N-3R1                 Buffalo, NY 14216
  8. Canada                                   USA
  9.  
  10. Tel: (416) 489-7440, Fax: (416) 489-6654
  11. Internet: rtls@execpc.com
  12. CompuServe: 71542,3631
  13.  
  14.  
  15. Please send me the registered version of "Earth Words for alien dinosaurs"
  16. for Windows, including 100 words and 100 animations, in the following 
  17. langauges (check each language module you wish to order):
  18.  
  19.         Language                        Unit Price      Amount
  20. ========================================================================
  21.         English only                    $25             
  22.         English/French/Spanish          $35
  23.         English/German/Italian          $35
  24.         English/Russian/Polish          $35
  25.         English/Japanese/Korean         $35
  26.         English/Hebrew/Yiddish          $35
  27.  
  28.  
  29.     Shipping & Handling:
  30.     -------------------
  31.         USA and Canada                   $5
  32.         Other countries                  $6
  33. ________________________________________________________________________
  34.     Total
  35.  
  36.  
  37. ___  My check or money order (in U.S. funds) is enclosed.
  38.  
  39. ___  VISA/MC ____________________________________ Exp. ________________
  40.  
  41.  
  42. Name:  ___________________________________________
  43.  
  44. (Title): _________________________________________
  45.  
  46. (Company): _______________________________________
  47.  
  48. Address: _________________________________________
  49.  
  50. City, State (Prov.) ______________________________
  51.  
  52. Zip/Postal Code ___________________
  53.  
  54. Country ___________________________
  55.  
  56. Phone/fax ________________________________________
  57.  
  58. Email ____________________________________________
  59.  
  60. Date: ______________________________
  61.  
  62.  
  63. Signature: ______________________________
  64.  
  65.