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Text File  |  2000-04-07  |  1.2 KB  |  56 lines
  1. To order via mail send this order form and a check or
  2. money order payable to:
  3.  
  4. Amabilis
  5. 3071 Glen Drive, Suite 402
  6. Coquitlam, BC
  7. Canada V3B 7R1
  8.  
  9. Customer information is confidential and will not be
  10. shared or distributed to any third party.
  11.  
  12. 3D Canvasá _____á at $49.95 ($69.95 Canadian)á each = ____
  13. Total payment:                                        ____
  14.  
  15. I wish to receive my license by:
  16.  
  17. Internet E-Mail ___
  18. Conventional Mail ___
  19.  
  20. Date: 
  21. ___________________________________
  22.  
  23. Name: 
  24. ___________________________________
  25.  
  26. Company: 
  27. ___________________________________
  28.  
  29. Postal Address: 
  30. ___________________________________
  31. ___________________________________
  32. ___________________________________
  33. ___________________________________
  34.  
  35. Day Phone: 
  36. ___________________________________
  37.  
  38. E-Mail address: 
  39. ___________________________________
  40.  
  41. How did you hear about 3D Canvas? 
  42. ___________________________________
  43. ___________________________________
  44.  
  45. Comments: 
  46. ___________________________________
  47. ___________________________________
  48.  
  49.  
  50. I agree to the registration terms set forth in the 3D Canvas License.
  51.  
  52. ___________________________________
  53.  
  54. (Signature)
  55.  
  56. Copyright ⌐ 2000 Amabilis