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Text File  |  1994-01-17  |  4KB  |  83 lines
  1. Order form for Alchemy Mindworks' shareware: [ ] 5 1/4 [ ] 3 1/2 inch disks
  2.  
  3. Name (yours) _________________________________________________________
  4.  
  5. Address (likewise, yours) ____________________________________________
  6.  
  7.                           ____________________________________________
  8.  
  9. City/town ____________________________________________________________
  10.  
  11. Province/state _______________________Post/zip code __________________
  12.  
  13. Country ______________________________________________________________
  14.  
  15. Daytime phone number _________________________________________________
  16.  
  17. FAX number ___________________________________________________________
  18.  
  19. Computer used (no idea why we want to know this) _____________________
  20.  
  21. Where did you obtain your copy of this package? ______________________
  22.  
  23. Payment: [ ] Visa (see below)            [ ] American Express (see below)
  24.          [ ] Cheque                      [ ] Other (no chickens, CODs
  25.          [ ] Cash (take your chances)               or POs please)
  26.  
  27. I'd like to order the following Alchemy Mindworks shareware:
  28.  
  29. [ ] Graphic Workshop for DOS                                 $40.00
  30. [ ] Graphic Workshop for Windows                             $40.00
  31. [ ] GrafCat                                                  $40.00
  32. [ ] Desktop Paint (monochrome)                               $40.00
  33. [ ] Desktop Paint 16                                         $40.00
  34. [ ] Desktop Paint 256                                        $40.00
  35. [ ] Image Gallery                                            $40.00
  36. [ ] The Pagan Daybook for Windows                            BOOKWARE
  37. [ ] The Pagan Daybook for DOS                                BOOKWARE
  38. [ ] Multimedia Workshop Light for Windows                    BOOKWARE
  39. [ ] QuickShow Light for Windows                              BOOKWARE
  40. [ ] The Order (NOVEL) by Steven William Rimmer,
  41.        $6.99 plus shipping ($2.50 in Canada,
  42.        $3.00 US, $4.50 international)                        $ 6.99 + shipping
  43. [ ] Shareware evaluation disk set (all Alchemy Mindworks'
  44.        current applications, on 3 1/2" disks)                $10.00
  45. [ ] Other
  46.  
  47. Previously registered copies of Alchemy Mindworks shareware
  48. can be updated for $20.00.
  49. _______________________________________________________________________
  50.  
  51. Canadian residents please add GST (it wasn't our idea)    _____________
  52.  
  53. TOTAL                                                     _____________
  54.  
  55. If you're ordering from outside Canada, please make your payment in US
  56. dollars. The exchange more or less covers the extra postage.
  57. _______________________________________________________________________
  58.  
  59. Payment by American Express or Visa card:
  60.  
  61. We can only accept American Express or Visa cards (no MasterCards, please.)
  62. We will need the following information:
  63.  
  64. Credit card number: ______________________________________________________
  65.  
  66. Expiry date: _____________________________________________________________
  67.  
  68. The name as it appears on the card: ______________________________________
  69.  
  70. The signature of its owner authorizing us
  71. to debit it for the amount indicated above: ______________________________
  72.  
  73. _______________________________________________________________________
  74.  
  75. Mail this form to:    Alchemy Mindworks Inc., P.O. Box 500, Beeton,
  76.                       Ontario L0G 1A0, Canada. If you're paying by
  77.                       credit card, you can FAX it to 1-905-729-4156.
  78.  
  79. Order toll free by phone at 1-800-263-1138 -- credit card orders only.
  80.  
  81. We ship within 48 hours, but please allow two weeks for delivery.
  82.  
  83.