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UK-ORDER.FRM
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Text File
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1992-07-23
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2KB
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54 lines
=========================================
ROBOCOMM 4.2 -- U.K. REGISTRATION FORM
=========================================
Remit to: NILDRAM SOFTWARE
82 Akeman Street
Tring, Herts
HP23 6AF
Phone & Fax Orders: 0442 890303
U.K. Support BBS: 0494 431861
------------------------------------------------------------------
| Item | Quantity | Price | Total |
|-------------------------------|----------|--------|------------|
| Robocomm version 4.2 | ________ | £25.00 | __________ |
| | | | |
| Printed documentation | ________ | £ 7.50 | __________ |
| | | | |
| V.A.T | | _____% | __________ |
| | | | |
|---------------------------------------------------|------------|
| | |
| Total amount enclosed | __________ |
------------------------------------------------------------------
Check desired disk format: ( ) 5.25" OK ( ) 3.5" Required
Disk density: ( ) Low Required ( ) High OK
Payment by: ( ) Cheque or postal order
( ) MasterCard
( ) Visa
( ) P.O. # _____________
Card #: ____________________________________ Exp. Date: _________
Signature of card holder: ____________________________________________
Name: ________________________________________________________
Company: ________________________________________________________
Address: ________________________________________________________
________________________________________________________
________________________________________________________
Phone: ________________________________________________________