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  1. +-------------------------------------------------------------------+
  2. |                    OPERA REGISTRATION FORM                        |
  3. +-------------------------------------------------------------------+
  4.  
  5. Via Mail: 
  6.              áOpera Software A/S - Opera Registration
  7.               Postbox 122 - 2007 Kjeller - NORWAY
  8.  
  9. Via Fax: 
  10.               Attention: Opera Registration
  11.               Number: +47 63 81 00 76
  12.  
  13. Via Wire Transfer:
  14.               Account Number: 7102.05.17284
  15.               Den Norske Bank - Kirkegaten 21 
  16.               P.O. Box 1171 - 0107 Oslo - Norway
  17.  
  18. Via Email attachment:
  19.               register@operasoftware.com
  20.  
  21. ----------------------------------------------------------------------
  22. I order: (All prices are in US Dollar)
  23.  
  24. No of licences:  [     ] licence(s) of Opera 3.00 @ US$ 35.00
  25.  
  26. Name          _________________________________________
  27. Company       _________________________________________
  28. Address       _________________________________________
  29.               _________________________________________
  30. City          __________________________
  31. Code          ___________
  32. Country       __________________________
  33. Phone/FAX     ___________________  /  __________________
  34. E-mail:       _________________________________________
  35.  
  36. For payments by Credit card :
  37.    Card Type    [ ] MasterCard  [ ] Visa  [ ] Amex
  38.    Card Number  ___________________________
  39.    Expiry Date  __________ [mm/yy]
  40.    Name on Card ___________________________
  41.    Total amount of order  US$      ___________
  42.  
  43. Bank Cheque/Postal Order payment of  US$ ___________ enclosed.
  44. ->> Please add $3 to cover bank charges on cheque payments. <<-
  45.  
  46. Date ____________        Signature _________________________________
  47.  
  48. If you register through an agent, please indicate his name or his 
  49. CSD-ID (starting with 27...) here:
  50.  
  51. CSD-ID: _____________
  52. Name:   _______________________________________
  53.  
  54. --------------------------------------------------------------------
  55. Note: For the educational version add photocopy of student identity 
  56. card or proof that you belong to an educational institution. Only
  57. this will qualify for the 50% discount.
  58. --------------------------------------------------------------------
  59.