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ORDERFRM.DOC
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1993-01-11
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2KB
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DIGIFOSSIL - Fossil Driver for DigiBoards
-----------------------------------------
Copyright (c) 1992 Technique Computer Systems
All Rights Reserved
O R D E R F O R M
Mail to: Technique Computer Systems
110 - 1841 Oak Bay Avenue
Victoria, B.C.
V8R 1C4
CANADA
FAX credit card orders to: (604) 598-4318
Payment by: ( )CHECK ( )MONEY ORDER ( )VISA ( )MASTERCARD
Please make check payable to Technique Computer Systems.
If ordering by VISA, please fill in name as it appears on your card.
Card Number:____________________________________Expiry ___/___
Signature:__________________________________________________
Name:__________________________________________________
Address:__________________________________________________
:__________________________________________________
Phone:___________________
Please send me (check desired item):
__ DIGIFOSSIL Registration (US funds)........ @ $15.00 ea $ ______
(Checks or Money orders ONLY)
__ DIGIFOSSIL Registration (Canadian funds).. @ $18.00 ea $ ______
(ALL credit card orders will be charged in Canadian funds)
Specify Disk 3-1/2"______ 5-1/4"______ don't bother ______
B.C. Residents please add Sales Tax ............. @ 6% $ ______
Canadian residents please add GST ............... @ 7% $ ______
Shipping/Handling: within Canada FREE
$1.00 to USA, $2.00 Overseas ....... $ ______
(If you didn't want a disk, shipping is FREE)
Total $ ______
Where did you acquired DIGIFOSSIL from?
_______________________________________________________________