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Text File  |  1998-05-21  |  2KB  |  65 lines
  1.         Familiar Order Form for Payment in UK Pounds
  2.         --------------------------------------------
  3.  
  4. Please register me as a licensed Familiar user, and send me a copy of
  5. the latest release.
  6.  
  7. Name:___________________________________________
  8. Company:________________________________________
  9. Address:________________________________________
  10. ________________________________________________
  11. ________________________________________________
  12. Phone:__________________________________________
  13. Fax:____________________________________________
  14. E-mail:_________________________________________(Required if ordering
  15.                                                  with no disks)
  16.  
  17.             Payments Due (see price list):
  18.             ------------------------------
  19.  
  20. License Type (Please Tick ONE):
  21.  
  22.         Single User, No Disks       _______
  23.         Single User, Disks          _______
  24.  
  25. Registration Price:
  26.  
  27.         License Price               ú_________
  28.         Price x ____ copies         ú_________
  29.         Total Payment               ú_________
  30.  
  31.         Cheque/Draft No:            _________________________
  32.                                     Payable To "Red When Excited Ltd"
  33.  
  34. Cheque Guarantee Details:
  35.         Number              _________________________
  36.         Expiry              _________________________
  37.  
  38.  
  39. Signed:     _________________________
  40.  
  41. Date:       _________________________
  42.  
  43.  
  44. When you have filled in the above details, mail this to:
  45.  
  46.     RED When Excited Ltd
  47.     15 Edgehill Road
  48.     Aberystwyth
  49.     Ceredigion
  50.     SY23 1LZ
  51.     UNITED KINGDOM.
  52.  
  53.             Optional Information
  54.             --------------------
  55.  
  56. How did you hear about Familiar?__________________________
  57. __________________________________________________________
  58.  
  59.  
  60. Any Comments:_____________________________________________
  61. __________________________________________________________
  62. __________________________________________________________
  63.  
  64.         Thank you for your interest in this product.
  65.