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Text File  |  1993-11-17  |  3KB  |  78 lines
  1.  
  2.                       Spelmate DLL for Windows Order Form
  3.  
  4.         NAME:     ______________________________________________________
  5.  
  6.         COMPANY:  ______________________________________________________
  7.  
  8.         ADDRESS:  ______________________________________________________
  9.  
  10.                   ______________________________________________________
  11.  
  12.         CITY:     ______________________________________________________
  13.  
  14.         COUNTY:   ________________________  Post/Zip Code:  ____________
  15.  
  16.         PHONE:    ______________________________________________________
  17.  
  18.         E-MAIL ADDRESS:  _______________________________________________
  19.  
  20.         WHERE DID YOU HEAR OF Spelmate?   ______________________________
  21.  
  22.         ________________________________________________________________
  23.  
  24.         COMMENTS:  _____________________________________________________
  25.  
  26.         ________________________________________________________________
  27.  
  28.  
  29.         Basic Registration @ £25.00 ($38+$7=$45)              £__________
  30.  
  31.  
  32.         Language Version, Tick one                      American  _____
  33.  
  34.                                                          British  _____
  35.  
  36.  
  37.         Prof. Registration @ £35.00 ($53+$7=$60)              £__________
  38.         (Includes Both Dictionaries)
  39.  
  40.         Floppy Disk Type, Tick one               (360K) 5.25"(2)  _____
  41.  
  42.                                                  (1.2M) 5.25"(1)  _____
  43.  
  44.                                                  (720K)  3.5"(1)  _____
  45.  
  46.                                                 (1.44M)  3.5"(1)  _____
  47.  
  48.         Shipping outside U.K. @ £1.50 ($3)                    __________
  49.  
  50.      (Payments MUST be in Pounds Stering or US Dollars)
  51.    (There is a $7 surcharge to convert dollars to Sterling)
  52.  
  53.  
  54.                                                  SUBTOTAL:   £__________
  55.  
  56.  
  57.                                                     TOTAL:   £__________
  58.  
  59.  
  60. Please enclose a check payable to Aciran Software Systems; or you may
  61.  use Access, Visa, MasterCard, or EuroCard.  For credit cards,
  62.  please enter the information below:
  63.  
  64.  Card #:__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
  65.  
  66.  Expiration date: ____/____
  67.  
  68.  Signature:  _________________________________________
  69.  
  70.  
  71.         Remit to:         Aciran Software Systems
  72.                           29 Duncryne Place,
  73.                           Bishopbriggs,
  74.                           Glasgow
  75.                           Scotland G64 2DP
  76.                           United Kingdom
  77.  
  78. EEC residents may pay by Eurocheque.