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Text File  |  1996-11-24  |  2KB  |  71 lines
  1.                            FILE FREEDOM ORDER FORM
  2.                           -------------------------
  3.             *NOTE* To order through BMT Micro, use BMTMicro.frm.
  4.  
  5.  
  6.             NAME:
  7.  
  8.             ADDRESS:
  9.  
  10.             CITY:
  11.  
  12.             PROVINCE (STATE):
  13.  
  14.             POSTAL CODE (ZIP CODE):
  15.  
  16.             COUNTRY:
  17.  
  18.             ---------------------------------------------------------------
  19.  
  20.             Please send my Registration Number to (choose one)
  21.  
  22.             MAIL TO ABOVE ADDRESS:   Yes ( )
  23.  
  24.             EMAIL ADDRESS:
  25.  
  26.             FAX TO:
  27.  
  28.             ---------------------------------------------------------------
  29.  
  30.             Send a Cheque or Money Order for $10.00 US
  31.  
  32.             (or $10.00 CAN plus GST for residents of Canada
  33.                                                 ($10.70 CAN)
  34.              and Ontario PST for residents of Ontario)
  35.                                                 ($11.50 CAN)      $ _______
  36.  
  37.             Shipping and Handling (see below)                     $ _______
  38.  
  39.             Email......................................     Free
  40.             Fax (USA/Canada)...........................     1.00 US
  41.             Fax (Non-North America)....................     2.00 US
  42.             Canada 1st Class Mail......................     1.00 CAN
  43.             Worldwide 1st Class Mail...................     1.00 US
  44.                                                                    =========
  45.  
  46.                                                            Total  $ _______
  47.  
  48.             Make cheques or money orders payable to: Bruce Henry
  49.  
  50.             Mail to:
  51.  
  52.                     Bruce Henry
  53.                     Red Paint Software
  54.                     425 Hespeler Rd.
  55.                     Suite #209
  56.                     Cambridge, ON
  57.                     Canada N1R 8J6
  58.  
  59.             ---------------------------------------------------------------
  60.  
  61.             Operating System Version:
  62.  
  63.             OS/2 2.1   (  )
  64.             OS/2 WARP 3.0 (  )
  65.             OS/2 WARP 4.0 (  )
  66.  
  67.             ---------------------------------------------------------------
  68.  
  69.             COMMENTS:
  70.  
  71.