home *** CD-ROM | disk | FTP | other *** search
/ Collection of Tools & Utilities / Collection of Tools and Utilities.iso / dskut / qkopy341.zip / QUIKCOPY.ORD < prev    next >
Text File  |  1994-03-15  |  1KB  |  60 lines
  1.                       QUIKCOPY ORDER FORM
  2.  
  3. Name: _________________________________________________________
  4.  
  5.  
  6. Address: ______________________________________________________
  7.  
  8.  
  9.          ______________________________________________________
  10.  
  11.  
  12.          ______________________________________________________
  13.  
  14.  
  15.          ______________________________________________________
  16.  
  17.  
  18. Email Address (if any): _______________________________________
  19.  
  20.  
  21. Serial Number (if upgrading): _________________________________
  22.  
  23.  
  24. Please state current version that you have: ___________________
  25.  
  26.  
  27. Signature: ____________________________________________________
  28.  
  29.  
  30. Telephone (optional): _________________________________________
  31.  
  32.  
  33. FAX (optional): _______________________________________________
  34.  
  35.  
  36. Form of payment: VISA/MASTERCARD __ (number) __________________
  37.  
  38.  
  39.                  CHEQUE __ POSTAL ORDER __ OTHER ______________
  40.  
  41.  
  42. Payment inside South Africa: __________ x R25 = _______________
  43.  
  44.  
  45. Payment outside South Africa: _________ x $20 (US) = __________
  46.  
  47.  
  48. Media required (mark with X): ___________ 5.25" __________ 3.5"
  49.  
  50.  
  51. Address to send to:    Roland Skinner
  52.                        RJS Software
  53.                        P.O. Box 14134
  54.                        Bredell
  55.                        1623
  56.                        Republic of South Africa
  57.  
  58. FAX number: +27-(0)11-792-4874
  59.  
  60.