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order.frm
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1992-11-07
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Order form for Alchemy Mindworks' shareware: [ ] 5 1/4 [ ] 3 1/2 inch disks
Name (yours) _________________________________________________________
Address (likewise, yours) ____________________________________________
____________________________________________
City/town ____________________________________________________________
Province/state _______________________Post/zip code __________________
Country ______________________________________________________________
Daytime phone number _________________________________________________
FAX number ___________________________________________________________
Computer used (no idea why we want to know this) _____________________
Where did you obtain your copy of this package? ______________________
Payment: [ ] Visa (see below) [ ] Cheque
[ ] Cash (take your chances) [ ] Other (no chickens, please)
I'd like to order the following Alchemy Mindworks shareware:
[ ] Graphic Workshop for DOS $40.00
[ ] Graphic Workshop for Windows $40.00
[ ] GrafCat $40.00
[ ] Desktop Paint (monochrome) $40.00
[ ] Desktop Paint 16 $40.00
[ ] Desktop Paint 256 $40.00
[ ] Image Gallery $40.00
[ ] Graphic Workshop update for previously registered copy $20.00
[ ] GrafCat update for previously registered copy $20.00
[ ] Desktop Paint update for previously registered copy $20.00
[ ] Desktop Paint 256 update for previously registered copy $20.00
[ ] Other
_______________________________________________________________________
Canadian residents please add GST (it wasn't our idea) _____________
TOTAL _____________
If you're ordering from outside Canada, please make your payment in US
dollars. The exchange more or less covers the extra postage.
_______________________________________________________________________
Payment by Visa card:
We can only accept Visa cards (no American Express or MasterCards, please.)
We will need the following information:
Credit card number: ______________________________________________________
Expiry date: _____________________________________________________________
The name as it appears on the card: ______________________________________
The signature of its owner authorizing us
to debit it for the amount indicated above: ______________________________
_______________________________________________________________________
Mail this form to: Alchemy Mindworks Inc., P.O. Box 500, Beeton,
Ontario L0G 1A0, Canada. If you're paying by
credit card, you can FAX it to (416) 729-4156.
We ship within 48 hours, but please allow four to six weeks for delivery.