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Text File  |  1993-11-16  |  2.9 KB  |  101 lines  |  [TEXT/ttxt]

  1.                                        REGISTRATION FORM
  2.  
  3.  
  4. Please print clearly in capital letters under each item below.
  5.  
  6. Name (personal name only)
  7.  
  8.  
  9. Street address (home postal address only)
  10.  
  11.  
  12. Suburb
  13.  
  14.  
  15. Town/City
  16.  
  17.  
  18. State/Province                        Postcode
  19.  
  20.  
  21. Country
  22.  
  23.  
  24. Name of School or institution (if applicable)
  25.  
  26.  
  27.  
  28. To register...
  29.  
  30.     • fill in your registration details above
  31.     • select your preferred payment method on the order form
  32.     • send this form with your payment to Michael Wildoer at:
  33.  
  34.  
  35.    Postal address:     Vitronics, GPO Box 215, Adelaide, Australia, 5001
  36.    Telephone/Fax:      Australia            (08)  235  0003
  37.                                       International     618  235  0003
  38.    Internet E-mail:    mwildoer@economics.adelaide.edu.au
  39. _________________________________________________________
  40.                                      ORDER FORM
  41.  
  42.  
  43. (All prices quoted are in Australian dollars)             Unit Price     Subtotal
  44.  
  45.        Japanese Prelector Pack (Macintosh Edition)         $  38.00
  46. or    Registration and user services only                         $  25.00
  47.        Upgrade (to latest single user version)              $  18.00
  48.        One year of telephone support*                                $  25.00
  49.  
  50.     MultiUser Pack (Macintosh Edition)                           $  79.00
  51.         + site establishment
  52.         + Reference Dictionary V2
  53.         + one year of telephone support*
  54.        1 x MultiUser additional installation                       $  40.00
  55.        4 x MultiUser additional installations                   $100.00
  56.      10 x MultiUser additional installations                   $200.00
  57.      20 x MultiUser additional installations                   $300.00
  58.     Additional User Manual                                               $  26.50
  59.     Upgrade (to latest MultiUser version)
  60.                                - each installation                   $  25.00
  61.                                - full site                                 $  75.00
  62.  
  63. All pack prices include: comprehensive
  64. User Manual, program disks, one year user
  65. service subscription, one month of telephone
  66. support* and postage and handling.
  67.  
  68. MultiUser Pack also contains the extras listed.
  69.  
  70. * telephone support does not include any call charges
  71.  
  72.     Additional postage and handling
  73.             (Residents outside Australia)                               $    7.00
  74.                                                                                                                          ---------
  75.                                                                                                          Total:
  76.                                                                                                                          ---------
  77.  
  78. Please select your preferred payment method below...
  79.  
  80. (  ) credit card  (  ) money order    (  ) bank cheque    (  ) personal cheque
  81.                                             |                                                          (Australia only)
  82.                               --------------------------------------------------
  83. (  ) MasterCard    (  ) Visa                  (  ) Bankcard
  84.  
  85. Name on card:
  86.  
  87.  
  88. Card number:
  89.  
  90.  
  91. Expiry date:          /
  92.  
  93.  
  94. Date:                      /       /
  95.  
  96.  
  97. Signature:      _________________________________
  98.  
  99.  
  100. Thank you for your order.
  101.