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/ Ian & Stuart's Australian Mac 1993 September / clonecd / September 93.img / Australasian Legends / Commercial / Micheal Wildoer / Japanese Prelector™ / Registration Form TT < prev    next >
Text File  |  1993-08-25  |  3KB  |  51 lines
  1.                                                  REGISTRATION FORM
  2.  
  3. (Please print clearly in capital letters, and use only the number of spaces provided)
  4.  
  5. Name
  6. |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |
  7. Street Address
  8. |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |
  9. Suburb
  10. |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |
  11. Town/City
  12. |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |
  13. State/Province                                                    Postcode
  14. |   |   |   |   |   |   |   |   |   |   |   |   |   |   |                      |   |   |   |   |   |   |   |   |   |   |
  15. Country
  16. |   |   |   |   |   |   |   |   |   |   |   |   |   |   |
  17. Name of School or institution  (if applicable)
  18. |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |
  19.  
  20. Please find payment enclosed (in AUD - Australian dollars) for:
  21.            (  ) Japanese Prelector™ Pack    (Macintosh Edition)          $38.00
  22.      OR  (  ) Registration and user services only                            $25.00
  23.            (  ) MultiUser Pack (Macintosh Edition)                             $79.00
  24.            (  ) One year of telephone support*                                             $25.00
  25.  Additional postage and handling (Residents outside Australia)  $  5.00
  26.                                                                                                   --------
  27.                                                                                         Total:
  28. * telephone support does not include any call charges               --------
  29.  
  30. (Pack prices include: comprehensive user manual, latest program disks, one month of telephone support*, one year user service subscription [including newsletter], postage & handling)
  31.  
  32.      (please make cheques and money orders payable to "Michael Wildoer")
  33. ____________
  34. (  ) credit card  |  (  ) money order     (  ) bank cheque     (  ) personal cheque
  35.                          |______________________________      (Australia only)
  36. (  ) Visa               (  ) MasterCard       (  ) Bankcard
  37. Credit card number:
  38. |   |   |   |   ||   |   |   |   ||   |   |   |   ||   |   |   |   |
  39. Expiry date:
  40. |   |   ||   |   |
  41. Date:
  42. |   |   ||   |   ||   |   |            Signature:  ___________________________
  43.  
  44. Send your registration (with payment) to Michael Wildoer:
  45.  
  46. Postal address:                    Vitronics, GPO Box 215, Adelaide, Australia, 5001
  47. Telephone/Fax:             Australia          (08)  235  0003
  48.                                                                 International         618  235  0003
  49. Internet E-mail:         mwildoer@economics.adelaide.edu.au
  50.  
  51.