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Text File  |  1994-03-07  |  3KB  |  59 lines
  1.                          REGISTRATION/ORDER FORM
  2.  
  3. To:   ARK ANGLES                    or                INNOVATIVE THINKING
  4.       24 Alexander Ave                                P O Box 47
  5.       Hazelbrook  NSW  2779                           Lawson  NSW  2783
  6.       AUSTRALIA                                       AUSTRALIA
  7.       Phone:  (047)588100                             Phone:  (047)592145
  8.         Intl+61-47-588100                               Intl+61-47-592145
  9.       Fax:    (047)588638                             Fax:    (047)592145
  10.         Intl+61-47-588638                               Intl+61-47-592145
  11.       CompuServe: 100237,141
  12.  
  13. From: Name    ___________________________________________________________
  14.  
  15.       Company ___________________________________________________________
  16.  
  17.       Address ___________________________________________________________
  18.  
  19.       Town    ____________________________  State ________  Code ________
  20.  
  21.       Country ___________________________________________________________
  22.  
  23.       Phone   ____________________________  Fax _________________________
  24.  
  25. Where did you obtain or hear about the software? ________________________
  26.  
  27. Computer:      [ ] XT     [ ] AT/286     [ ] 386     [ ] 486     [ ] >486
  28.  
  29. Memory Size: ____________    Hard Disk Size: __________
  30.  
  31. Drives:  [ ] 360K 5.25"   [ ] 720K 3.5"   [ ] 1.2M 5.25"   [ ] 1.44M 3.5"
  32.  
  33. Screen:    [ ] Mono/Herc     [ ] CGA     [ ] EGA     [ ] VGA     [ ] >VGA
  34.  
  35. Dos Version: _______    Windows Version: _______    OS/2 Version: _______
  36.  ___________________________________________________ _______ ___________
  37. | P R O D U C T  /  L I C E N S E                   | Q T Y | P R I C E |
  38. |___________________________________________________|_______|___________|
  39. |                                                   |       |           |
  40. |___________________________________________________|_______|___________|
  41. |                                                   |       |           |
  42. |___________________________________________________|_______|___________|
  43. |                                                   |       |           |
  44. |___________________________________________________|_______|___________|
  45. |                                                   |       |           |
  46. |___________________________________________________|_______|___________|
  47. | T O T A L                                                 |           |
  48. |___________________________________________________________|___________|
  49.  
  50. [ ] Bankcard    [ ] Mastercard    [ ] Visa    [ ] Cash/Cheque/Draft/Order
  51.  
  52. Credit Card No  _______ _______ _______ _______   Expiry Date ____ / ____
  53.  
  54. Cardholder Name _________________________________________________________
  55.  
  56. Signature       _______________________________   Date __________________
  57.  
  58. Comments:
  59.