home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Collection of Tools & Utilities
/
Collection of Tools and Utilities.iso
/
graphic
/
splt251.zip
/
ORDER.FRM
< prev
next >
Wrap
Text File
|
1993-08-01
|
3KB
|
67 lines
Order Form for SPLOT - The Pen Plotter Simulator (MS-DOS version)
To mail this form, please use a registered mail.
Your Name: _____________________________________________________________
Company: _______________________________________________________________
Address: _______________________________________________________________
City: _____________________________ Prov/State: _____________________
Country: _____________________________ ZIP/Postal: _____________________
If you are registered user already, your serial number: ________________
Licence: [ ] single user [ ] multisystem site
Disk: [ ] 5 1/4 inch [ ] 3 1/2 inch
Payment: [ ] Cash (money enclosed)
[ ] Credit card (fill out credit card information below)
[ ] Bank or travelers cheque (payable in US funds)
I'd like to order the SPLOT program for the following plotter type(s):
[ ] HP 7470A ............................................ ___________ USD
[ ] HP 7475A ........................................... ____________ USD
[ ] HP 7440A ColorPro .................................. ____________ USD
[ ] HP 7550A ........................................... ____________ USD
[ ] HP DraftPro ........................................ ____________ USD
[ ] HP DraftMaster ..................................... ____________ USD
[ ] Roland DXY ......................................... ____________ USD
Shipping (Outside Europe) .............................. ____________ USD
TOTAL AMOUNT ( US dollars ) ............................ ____________ USD
I hereby authorize the above amount to be charged to my
[ ] MasterCard [ ] VISA [ ] American Express
Name as it appears on card:__________________________________________
Credit card number:_______________________ Expiration date:__________
Signature:_________________________________
Your comments: ________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
(add any additional comments you wish separately)
Mail this form to: Alexandr Novy
Havlickova 2209
390 01 TABOR
Czech Republic