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Text File  |  1994-08-28  |  4KB  |  53 lines
  1. ┌──────────────────────────────────────────────────────────────────────┐
  2. │                                                                      │
  3. │ Return to:     Fugue Software        WORD FUGUE V3.1 REGISTRATION    │
  4. │                P.O. Box 425                                          │
  5. │                CAPALABA QLD  4157                                    │
  6. │                AUSTRALIA                                             │
  7. │                                                                      │
  8. │ Name ______________________________________________________________  │
  9. │                                                                      │
  10. │ Company ___________________________________________________________  │
  11. │                                                                      │
  12. │ Address ___________________________________________________________  │
  13. │                                                                      │
  14. │         ___________________________________________________________  │
  15. │                                                                      │
  16. │ Phone _____________________________________________________________  │
  17. │                                                                      │
  18. │                                                                      │
  19. │ Diskette size:     ____ 5.25" acceptable       ____ 3.5" required    │
  20. │                                                                      │
  21. │                                               Quantity   Price       │
  22. │                                                                      │
  23. │ Word Fugue V3                  ($75/copy):    ________   __________  │
  24. │ (including manual & disks & one large dictionary,                    │
  25. │  special version for 386/486, document templates)                    │
  26. │ Word Fugue V3 disks only       ($40/set ):    ________   __________  │
  27. │ Word Fugue V3 manual only      ($35/copy):    ________   __________  │
  28. │ Additional Dictionary          ($15/copy):    ________   __________  │
  29. │ [ ]Australian   [ ]American   [ ]British                             │
  30. │ Subtotal                                                 __________  │
  31. │                                                                      │
  32. │ Shipping charges, per copy:                   ________   __________  │
  33. │                            Postage                                   │
  34. │     Registration     Australia    New Zealand   USA   Europe         │
  35. │     ------------     ---------    -----------   ---   ------         │
  36. │ Disks Only     $40       $3          $3         $5       $6          │
  37. │ Manual Only    $35       $5          $6         $9      $10          │
  38. │ Disks & Manual $75       $5          $7         $9      $10          │
  39. │                                                                      │
  40. │ Total enclosed:                                          __________  │
  41. │                                                                      │
  42. │ I wish to pay by:                                                    │
  43. │     [ ]   Visacard                     [ ]   Cheque                  │
  44. │     [ ]   Mastercard                   [ ]   Bankcard (Australia)    │
  45. │                                                                      │
  46. │Credit Card:  __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __   │
  47. │                                                                      │
  48. │ Expiry Date:  ___/___ Name: _________________________________________│
  49. │                                                                      │
  50. │                                                                      │
  51. │ Signature :                                                          │
  52. └──────────────────────────────────────────────────────────────────────┘
  53.