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Text File  |  1994-11-20  |  4KB  |  75 lines

  1.   ======================================================================
  2.   Please print this file and send to:
  3.  
  4.   Hongbo Ni                        Telephone: +61-2-869-0821
  5.   Hongbo Data Systems              Fax:       +61-2-869-0823
  6.   P.O.Box 40                       CompuServe:   100032,2724
  7.   Epping NSW 2121  AUSTRALIA       InterNet: 100032.2724@compuserve.com
  8.   ======================================================================
  9.                                                         Source: JCSM-A2V
  10.  
  11.          NJStar(tm) - Japanese WP System Ver 3.03j Order Form
  12.  
  13.   Name:   ___________________________________________________(in English)
  14.  
  15.   Address:___________________________________________________
  16.           ___________________________________________________
  17.           ___________________________________________________
  18.           ___________________________________________________
  19.  
  20.   Tel/Fax:___________________________________________________
  21.  
  22.   My Computer is XT/286/386/486/PS2      [ ] 3.5"HD disk prefered,
  23.               with EGA/VGA/SuperVGA      [ ] 5.25"HD disk required.
  24.  
  25.   My Printer is [________________________________________________]
  26.  
  27.   I would like to order the following version (see PRODUCTS.DOC):
  28.  
  29.                            Unit Price
  30.   Product Code         US$ AU/CA$ GBP  DM    Qty     Amount
  31.   ------------------   --------------------  ---  --------------
  32.   NJSTAR Basic v3.0    79   109   59   139   ___  ___$__________
  33.   NJSTAR PRO v3.0      119  169   79   209   ___  ___$__________
  34.   --------------------------------------------------------------
  35.   Sub-Total ......................................___$__________
  36.   Plus Shipping & Handling (AU/CA/US$10 GBP8 DM13)___$__________
  37.   ==============================================================
  38.   Total Amount ...................................___$__________
  39.  
  40.   Payment Method: [ ] Check      [ ] AMEX Money Order
  41.                   [ ] VisaCard   [ ] MasterCard      [ ] Cash
  42.  
  43.   Card Number: ______ ______ ______ ______ Expire Date:____/____
  44.  
  45.   Card Holder Name: ____________________________________________
  46.  
  47.   Card Holder Signature: ________________________ Date:____/____
  48.  
  49.  
  50.   NOTE:
  51.   1. If payment is made by Credit Card, Australian Currency amount is charged.
  52.   2. For Visa/Master card order, please fax or email for fast processing.
  53.   3. All checks must be drawn in the same country as the currency, eg GBP in UK.
  54.   4. Other currency accepted at current exchange rate, drawn on same country.
  55.   5. Postal money orders, excepted from Australia Post, are not accepted.
  56.   6. Multiple orders and network version are available on request.
  57.  
  58.   My comments or suggestions:
  59.  
  60.   ________________________________________________________________
  61.   ________________________________________________________________
  62.   ________________________________________________________________
  63.   ________________________________________________________________
  64.   ________________________________________________________________
  65.   ________________________________________________________________
  66.   ________________________________________________________________
  67.   ________________________________________________________________
  68.   ________________________________________________________________
  69.   ________________________________________________________________
  70.   ________________________________________________________________
  71.  
  72.  
  73.   Signature: __________________________  Date: ____________________
  74.  
  75.