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Text File  |  1997-04-07  |  2KB  |  62 lines
  1.                     O R D E R   F O R M   F O R   N C O M   V 2 . 3
  2.  
  3.  
  4.        Mail this   Norbert Harle
  5.        form to:    88 Falconglen Place
  6.                    Ferny Grove, QLD 4055
  7.  
  8.                    Phone: +61-7-3351-6471
  9.                    Fax:   +61-7-3351-2356
  10.                    Internet: n.harle@ieee.org
  11.  
  12.        PAYMENT BY:
  13.        ________________________________________________________________
  14.  
  15.        [  ]  Visa              : Card Number  _________________________
  16.                                :
  17.        [  ]  MasterCard        : Expiration Date                ___ ___
  18.                                : Exact name on card
  19.                                :
  20.                                : ______________________________________
  21.                                : Signature
  22.                                : ______________________________________
  23.  
  24.        [  ]  Cash (please use registered mail)
  25.  
  26.        [  ]  bank check (please add US$ 5.-- handling fee to the total 
  27.              amount)
  28.  
  29.        Where did you get this copy of NCOM?
  30.  
  31.        ___________________________________________________________
  32.  
  33.  
  34.  
  35.        Ship to:    ______________________________
  36.  
  37.                    ______________________________
  38.  
  39.                    ______________________________
  40.  
  41.                    ______________________________
  42.  
  43.                    ______________________________
  44.  
  45.  
  46.        Phone:      ______________________________
  47.  
  48.        Fax:        ______________________________
  49.  
  50.        Internet:   ______________________________
  51.  
  52.  
  53.  
  54.        qty ordered ____    REGISTRATION Only
  55.                            US$25 each. Just registration number sent.
  56.  
  57.        qty ordered ____    REGISTRATION including disk with 
  58.                            newest Version of NCOM
  59.                            US$35 each. International addresses add
  60.                            US$5 for shipping.
  61.  
  62.