home *** CD-ROM | disk | FTP | other *** search
/ Cream of the Crop 22 / Cream of the Crop 22.iso / sound / vbsyx14i.zip / ORDER.FRM < prev    next >
Text File  |  1996-09-15  |  3KB  |  102 lines
  1.                                 ORDER FORM
  2.                                 VBSYX 1.4i
  3.         FOR AUSTRALIAN AND INTERNATIONAL (NON-UNITED STATES) ORDERS
  4.         ===========================================================
  5.  
  6.  
  7.     Name:                             _________________________________
  8.  
  9.     Company/Address:                  _________________________________
  10.  
  11.                                       _________________________________
  12.  
  13.                                       _________________________________
  14.  
  15.     Your Telephone Number:            _________________________________
  16.                                          (include area/country code)
  17.  
  18.  
  19.     Your E-Mail Address:    ___________________________________________
  20.                                   (Must be reachable via Internet)
  21.  
  22.                              Registration Name
  23.       (Capitalization and Punctuation will be used exactly as listed)
  24.       ---------------------------------------------------------------
  25.  
  26.  
  27.     Your Name (required):             _________________________________
  28.  
  29.  
  30.     Price Calculation
  31.     -----------------
  32.  
  33.     Registration Fee: $24.95 AUD per copy
  34.  
  35.     (SCUG Members:  send e-mail to mlevoi@modemss.brisnet.org.au for
  36.                     details on a special limited-time discount offer!)
  37.  
  38.  
  39.     Registration Fee: _____ copies @ $24.95 AUD each = ___________
  40.  
  41.     Total Cost:                                        ___________
  42.  
  43.  
  44.     Checks or Money orders:  Make payable in Australian currency on an
  45.                              Australian bank.
  46.                              DO NOT SEND CASH!!!!!
  47.  
  48.     Send this entire form with your check or money order (again, no cash)
  49.     payable to Mike Le Voi to the following address:
  50.  
  51.                           Mike Le Voi
  52.                           33 Pleasant Drive
  53.                           ALBANY CREEK
  54.                           QLD 4035
  55.                           AUSTRALIA
  56.  
  57.     Please allow 6-8 weeks for delivery of mailed registration keys, and
  58.     5-10 days for delivery of keys via e-mail.
  59.  
  60.  
  61.     How did you receive your copy of VBSYX?
  62.  
  63.     [ ] CompuServe
  64.  
  65.     [ ] America Online
  66.  
  67.     [ ] Prodigy
  68.  
  69.     [ ] FidoNet (please list node)  ______________________________________
  70.  
  71.     [ ] World Wide Web site or FTP site  _________________________________
  72.  
  73.     [ ] Other BBS  _______________________________________________________
  74.  
  75.     [ ] Catalog __________________________________________________________
  76.  
  77.     [ ] Other ____________________________________________________________
  78.  
  79.  
  80.  
  81.     Do you have any comments or suggestions?
  82.  
  83.  
  84.     ______________________________________________________________________
  85.  
  86.     ______________________________________________________________________
  87.  
  88.     ______________________________________________________________________
  89.  
  90.     ______________________________________________________________________
  91.  
  92.     ______________________________________________________________________
  93.  
  94.     ______________________________________________________________________
  95.  
  96.     ______________________________________________________________________
  97.  
  98.  
  99.     Thank you for ordering VBSYX!
  100.  
  101.  
  102.