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Text File  |  1996-04-05  |  4KB  |  126 lines
  1.  
  2.                            GRAPHIC LEVEL MATER
  3.                              Version 2.10000
  4.                                ORDER FORM
  5.  
  6.  
  7. DISK SIZE: (Check One)       [  ]3.5" 1.4M   [  ]3.5" 720k
  8.                              [  ]5.4" 1.2M
  9.  
  10. Quantity: payable in U.S. Dollars.
  11.  
  12.           Program only...        $10.00 x ______ = $___________
  13.  
  14.           Shipping...            $5.00  x ______ = $___________
  15.  
  16.           Total...                                 $
  17.                                                     ===========
  18.  
  19.                   in Japanese, Yen.
  20.  
  21.           Program only...      1000 yen x ______ = ___________ yen
  22.  
  23.           Shipping...           500 yen x ______ = ___________ yen
  24.  
  25.           Total...                                 
  26.                                                    =========== yen
  27.  
  28. PAYMENT TYPE:(Check One)    [  ]AMEX CARD  [  ]Bank  [  ]Money Ship
  29.  
  30.               for AMEX form:
  31.  
  32.                   Cardmember Acct No.__________________________________
  33.  
  34.                   Cardmember name______________________________________
  35.  
  36.                   Cardmember Valid Dates_______________________________
  37.  
  38.  
  39.                   Cardmember Signature_________________________________
  40.  
  41.               for Bank:
  42.  
  43.                   In JAPAN. DAIICHI KANGYOU BANK
  44.                   branch No.267(MACHIDA)
  45.                   account No.1885441
  46.                   account Name:GOHRUDEN WIHZU PUROJEKUTO
  47.                                DAIHYOU YAMASAKI YUKINORI
  48.                   phone:(JAPAN)-427-23-0005
  49.  
  50.               for Money ship
  51.  
  52.                   Yukinori Yamasaki              
  53.                   Golden Weeds Project Japan     
  54.                   Peerage AOYAMA5-214            
  55.                   4-9-8 Nakamachi, Machida-shi   
  56.                   Tokyo 194, JAPAN               
  57.  
  58.                   Voice (+81)427-39-7672
  59.                   Fax   (+81)427-39-7671
  60.                   
  61.                   When money ship,within this order form into envelope.
  62.  
  63.  
  64. Name:__________________________________________________________________
  65.  
  66. Company:_______________________________________________________________
  67.  
  68. Street address:________________________________________________________
  69.  
  70. City:_____________________________________ ZIP code:___________________
  71.  
  72. Phone:______________________________ FAX:______________________________
  73.  
  74. Where did you get this program?  [  ]BBS  [  ]Friend  [  ]FTP [  ]other
  75.  
  76.             from BBS:(name)_______________________
  77.  
  78.                      (ID)_________________________
  79.  
  80.        from FTP site:(name)_______________________
  81.  
  82.           (yours address)_________________________
  83.  
  84.             other:________________________________
  85.  
  86. What do you use about machine...
  87.  
  88. CPU: [  ]386SX   [  ]386DX   [  ]486SX   [  ]486DX  [  ]Pentium  [  ]G6
  89.  
  90.      [  ]other__________________________
  91.  
  92. Cache:_________KB   Processor speed:_________MHz
  93.  
  94. RAM:__________MB   Harddisk:__________MB
  95.  
  96. Video board: [  ]CGA or lower   [  ]EGA   [  ]VGA   [  ]SVGA
  97.  
  98.              [  ]other:_________________________
  99.  
  100. Video memory:___________KB
  101.  
  102. Sound card: [  ]Sound Blaster   [  ]Sound Blaster(        )
  103.  
  104.             [  ]Gravis UltraSound  [  ]Gravis UltraSound(        )
  105.  
  106.             [  ]Pro Audio Spectrum
  107.  
  108.             [  ]other__________________________________________________
  109.  
  110. And any else questions? or request?
  111. (If you have many questions, You can send by InterNet-Mail.)
  112. (My address is gwp@ppp.bekkoame.or.jp.                     )
  113.  
  114.   _____________________________________________________________________
  115.  
  116. Thank you for filling this form out. all text on the check must be in the
  117. english language or japanese language. Then this order form send by Air 
  118. mail or FAX:
  119.  
  120.       by airmail... look at upper "PAYMENT TYPE for BANK"
  121.  
  122.       by FAX:(+81)-427-39-7671 (FAX and VOICE auto detect)
  123.          ex.)from U.S.  011-81-427-39-7671
  124.  
  125.                       Golden Weeds Project Japan
  126.