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Text File  |  1999-08-04  |  1.9 KB  |  57 lines
  1. Mail Order Form!
  2.  
  3. You can also order online from www.gpsoftuk.com
  4.  
  5. Send the registration along with Cash, Check or Credit Card Info to:
  6. Regsoft.com
  7. PMB 201,
  8. 10820 Abbotts Bridge Road,
  9. Suite 220
  10. Duluth, GA 30097
  11. USA
  12.  
  13. Please fill in the quantity and product you want to order.
  14.  
  15. I want to order:
  16.  
  17. Quantity    Product ID    Product Name                Item Price (US$)
  18.  
  19. ________        12216           CD Box Labeler Pro                      14.95
  20.  
  21. ________        12217           CD Box Labeler Pro (CD Pack)            19.95
  22.  
  23.                                                               Total Sum _____________
  24.  
  25.  
  26. Last name ________________________________________________________________
  27.  
  28. First name _______________________________________________________________
  29.  
  30. Company __________________________________________________________________
  31.  
  32. Street ___________________________________________________________________
  33.  
  34. City, State, Postal Code _________________________________________________
  35.  
  36. Country __________________________________________________________________
  37.  
  38. Phone ____________________________________________________________________
  39.  
  40. Fax ______________________________________________________________________
  41.  
  42. E-Mail ___________________________________________________________________
  43.  
  44. Credit card information (if applicable):
  45.  
  46. CC Type (Visa, Master Card, American Express)_____________________________
  47.  
  48. Credit card number________________________________________________________
  49.  
  50. Valid until (mm/yy)_______________________________________________________
  51.  
  52. Name of card holder_______________________________________________________
  53.  
  54. Fill in all required fields in CAPITAL letters and send it in along with 
  55. your check, cash, credit card info in US funds payable to RegSoft.com and
  56. you will recieve your registration after your check, credit card has been
  57. cleared.