home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Cream of the Crop 25
/
Cream of the Crop 25.iso
/
windows
/
wsock325.zip
/
ORDER.TXT
< prev
next >
Wrap
Text File
|
1997-04-06
|
2KB
|
77 lines
ORDER FORM - WS50
================================================================
Order for "Eric's WSOCK32.DLL"
I want to order Eric's WSOCK32 for WIN95(R)
Name: ______________________________________________________
Company: ______________________________________________________
Address: ______________________________________________________
State: _______________________ Country: ____________________
Phone: _______________________ FAX: ____________________
E-mail: ______________________________________________________
[ ] license(s), each US$ 20.00 / 30,- DM (Deutsche Mark)
/ German Currency when
/ paying with plastic
/ or Eurocheque
I will receive the registration key(s) by email.
[ ] I will pay with my credit card:
TOTAL in DM (Deutsche Mark): __________
( ) Mastercard ( ) Eurocard ( ) VISA
Card #_________________________________ Exp. Date:_________
The name as it appears on the card: _______________________
The signature of its owner authorizing us
to debit it for the amount indicated above:
________ ________________________________
Date Signature of Cardholder
[ ] I will send Money/Cheque by mail.
Cheques accepted:
1. Cheques drawn on an international bank having the
address of a North American clearing office and a
bank transit number printed on it. These Cheques
must be in US dollars - no other currency can be
accepted.
2. Eurocheques.
These Cheques must be in DM (Deutsche Mark).
The Cheque's card number must be on its back.
Otherwise these Cheques can not be accepted.
=================================================================
Send this form to: FRIEDRICH EDV SERVICE,
An den Dreissigruten 51,
D 64572 Buettelborn, Germany
FAX: +49-6152-2255
email: friedv@aol.com