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Text File  |  1997-03-21  |  2KB  |  62 lines
  1. TVicHW32 ORDER FORM
  2.  
  3. BY CREDIT CARD
  4. --------------
  5. TVicHW32 can be ordered over the Internet for US$99 using CyberCash, 
  6. VISA, Mastercard or American Express credit card, or by using the 
  7. Microsoft Payment Selector, from the Virtual Software Store at the 
  8. following site: http://virtualsoftware.com/entech/tvichw32
  9.  
  10. ======================================================================
  11.  
  12. BY POSTAL MAIL
  13. --------------
  14. To register TVicHW32 by postal mail, please mail this form, with 
  15. payment, to:
  16.  
  17. Victor I. Ishikeev
  18. Attn: TVicHW32
  19. P.O. Box 329
  20. Ufa, 450005
  21. Russian Federation
  22.  
  23.  
  24. Date: 
  25.       __________________
  26.  
  27. Product                                       Price*  Qty Subtotal
  28. ------------------------------------------------------------------
  29.  
  30. TVicHW32 Registration (no disks)          US$ 99.00*   
  31.                                                       ___ ________
  32.  
  33. ------------------------------------------------------------------
  34.  
  35. Registration via E-Mail**                   $  0.00   
  36.                                                       ___ ________
  37.  
  38.  
  39. ------------------------------------------------------------------
  40.  
  41. Total                                                     
  42.                                                           ________
  43.  
  44. ------------------------------------------------------------------
  45.  
  46. *Payment must be in USD or equivalent by international money order
  47. **Registration files will be e-mailed immediately upon receipt
  48.  
  49.  
  50. REGISTRATION DETAILS
  51.  
  52. Name:             
  53.                   _________________________________________________
  54.  
  55.  
  56. Internet Mail:    
  57.                   _________________________________________________
  58.  
  59.  
  60.  
  61. Thank you for your order.
  62.