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Text File  |  1993-07-26  |  2KB  |  63 lines

  1.  
  2.                       Index-It 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 Index-It?   ______________________________
  21.  
  22.         ________________________________________________________________
  23.  
  24.         COMMENTS:  _____________________________________________________
  25.  
  26.         ________________________________________________________________
  27.  
  28.  
  29.       Registration @ £15.00 ($22 + $7 = $29)                  __________
  30.  
  31.  
  32.         Floppy Disk Type, Tick one               (360K) 5.25"  _________
  33.  
  34.                                                  (1.2M) 5.25"  _________
  35.  
  36.                                                  (720K)  3.5"  _________
  37.  
  38.                                                 (1.44M)  3.5"  _________
  39.  
  40.       Airmail Shipping outside U.K. @ £1.50 ($3)              __________
  41.   (Payments MUST be in Pounds Sterling or US dollars)
  42.  
  43. (The $7 surcharge is to cover Bank charges to convert US funds to Sterling)
  44.  
  45.  
  46.                                                 SUBTOTAL:    __________
  47.  
  48.  
  49.                                                     TOTAL:   __________
  50.  
  51.         Remit to:         James Herron
  52.                           Aciran Software Systems
  53.                           29 Duncryne Place,
  54.                           Bishopbriggs,
  55.                           Glasgow
  56.                           Scotland G64 2DP
  57.                           United Kingdom
  58.  
  59. Note: If ordering more than one copy, and payment is in US dollars, only
  60. one $7 surcharge is required, provided all payment is on the one check.
  61.  
  62. Checks drawn on an American Bank are perfectly acceptable.
  63.