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Text File  |  1995-03-27  |  1KB  |  25 lines
  1.               JEUX ABC & IMAGES MOBILES (J.A.I.M.)
  2.               322,  DES  COMMISSAIRES est
  3.               QUEBEC (QUEBEC)  CANADA   G1K 2P1
  4.       PHONE:(418)529-6920  FAX/MODEM:(418)529-8747  Compuserve:76261,2472
  5.       ENGLISH ____    
  6.       Level          1___  2___  3___  4___  5___   6___   7___
  7.       FRENCH  ____     
  8.       Level          1___  2___  3___  4___  5___   6___   7___
  9.      Price:(US$)10$ (unit)+ 3$ (postal charge) - 2$ for serial number                        
  10.      Serial number____________________Number of diskette(s)____ X 13$
  11.      Total amount:                                              _____       
  12.      NAME ______________________________________________________
  13.      ADRESS ____________________________________________________
  14.      CITY ___________________________STATE______________________
  15.      COUNTRY_________________________ZIP CODE___________________
  16.      PHONE.:(   )____________________OFFICE.(   )_______________
  17.                 
  18.         CHEQUE____       MONEY ORDER____
  19.         VISA  ____       MASTER CARD____    AMERICAN EXPRESS____
  20.          (Outside North America no cheque, money order please)
  21.       AMOUNT____________$
  22.       ACCOUNT# _________________________________________________
  23.       EXPIRATION DATE ___________________/______________________
  24.       SIGNATURE_________________________________________________
  25.