home *** CD-ROM | disk | FTP | other *** search
/ PC Online 1998 January / PCO0198.ISO / filesbbs / os2 / filefr17.arj / FILEFR17.ZIP / orderfrm < prev    next >
Encoding:
Text File  |  1997-08-01  |  2.3 KB  |  75 lines
  1.                            FILE FREEDOM ORDER FORM
  2.                           -------------------------
  3.  
  4.             *NOTE*   To order through BMT Micro, use BMTMicro.frm.
  5.  
  6.  
  7.             NAME:
  8.  
  9.             ADDRESS:
  10.  
  11.             CITY:
  12.  
  13.             PROVINCE (STATE):
  14.  
  15.             POSTAL CODE (ZIP CODE):
  16.  
  17.             COUNTRY:
  18.  
  19.             ---------------------------------------------------------------
  20.  
  21.             Please send my Registration Number to (choose one)
  22.  
  23.             MAIL TO ABOVE ADDRESS:   Yes ( )
  24.  
  25.             EMAIL ADDRESS:
  26.  
  27.             FAX TO:
  28.  
  29.             ---------------------------------------------------------------
  30.  
  31.             Send a Cheque or Money Order for $10.00 US funds.
  32.             Foreign cheques must be drawn on financial institutions that
  33.             have clearing arrangements or partnership with a Canadian or
  34.             U.S. bank.
  35.  
  36.             (or $10.00 CAN plus GST for residents of Canada
  37.                                                 ($10.70 CAN)
  38.              and Ontario PST for residents of Ontario)
  39.                                                 ($11.50 CAN)      $ _______
  40.  
  41.             Shipping and Handling (see below)                     $ _______
  42.  
  43.             Email......................................     Free
  44.             Fax (USA/Canada)...........................     1.00 US
  45.             Fax (Non-North America)....................     2.00 US
  46.             Canada 1st Class Mail......................     1.00 CAN
  47.             Worldwide 1st Class Mail...................     1.00 US
  48.                                                                    =========
  49.  
  50.                                                            Total  $ _______
  51.  
  52.             Make cheques or money orders payable to:  Bruce Henry
  53.  
  54.             Mail to:
  55.  
  56.                     Bruce Henry
  57.                     Red Paint Software
  58.                     425 Hespeler Rd.
  59.                     Suite #209
  60.                     Cambridge, ON
  61.                     Canada N1R 8J6
  62.  
  63.             ---------------------------------------------------------------
  64.  
  65.             Operating System Version:
  66.  
  67.             OS/2 2.1   (  )
  68.             OS/2 WARP 3.0 (  )
  69.             OS/2 WARP 4.0 (  )
  70.  
  71.             ---------------------------------------------------------------
  72.  
  73.             COMMENTS:
  74.  
  75.