home *** CD-ROM | disk | FTP | other *** search
/ PC Interdit / pc-interdit.iso / share / alchemy / order.frm < prev    next >
Text File  |  1994-09-20  |  2KB  |  59 lines

  1.  
  2.                           Image Alchemy 1.7 Order Form
  3.  
  4.     Qty    Description                                       Price     Total
  5.  
  6.     _____  Image Alchemy for MS-DOS (Dual Media)              79.95  __________
  7.  
  8.     _____  Image Alchemy/386 for 80386 Enhanced Mode (Dual)  199.95  __________
  9.  
  10.     _____  Image Alchemy/Unix for 386 Unix (3.5")            199.95  __________
  11.  
  12.     _____  Image Alchemy/SPARC for Sun-4 (3.5")              199.95  __________
  13.  
  14.     _____  Image Alchemy/SPARC for Sun-4 (1/4")              199.95  __________
  15.  
  16.     _____  Image Alchemy/6000 for IBM RS/6000 (3.5")         199.95  __________
  17.  
  18.     _____  Image Alchemy/9000 for HP-9000/700 & 800 (4mm)    199.95  __________
  19.  
  20.  
  21.                                                           Sub-Total: __________
  22.  
  23.                       California Residents add applicable sales tax: __________
  24.  
  25.       Shipping and handling       UPS Ground (US only)         4.00
  26.       (per copy)                  FedEx Second Day (US only)   8.00
  27.                                   FedEx Overnight (US only)   20.00
  28.                                   International AirMail       14.00
  29.                                   International Express Mail  30.00  __________
  30.                                                                      
  31.                                                         Total (US$): __________
  32.  
  33.  
  34.     Circle Payment form:       Check      Visa       MC       Amex
  35.  
  36.  
  37.     Card #: _____________________________________     Exp. Date: ______________     
  38.  
  39.  
  40.     Signature: ________________________________________________________________
  41.  
  42.     Ship to:                             Bill to:
  43.     Name: _____________________________  Name: ________________________________
  44.  
  45.     Company: __________________________  Company: _____________________________
  46.  
  47.     Address: __________________________  Address: _____________________________
  48.  
  49.     City: _____________________________  City: ________________________________
  50.  
  51.     State: ________  Zip: _____________  State: _________  Zip: _______________
  52.  
  53.     Phone: (______) ___________________  Fax: (______) ________________________
  54.  
  55.  
  56.     Send to:                                Phone: +1 408 358 1292
  57.     Handmade Software, Inc.                 Fax:   +1 408 358 2694
  58.     15951 Los Gatos Blvd., Ste. 17          Email: hsi@netcom.COM
  59.     Los Gatos, CA  95032                    Email: 71330,3136 (CompuServe)