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Text File  |  1992-08-17  |  6KB  |  120 lines
  1.                 RExL 2.11 Registration and Order Form
  2.                 -------------------------------------
  3.  
  4.   Please fill out this form in block capitals. If we cannot read this
  5.   form, then  we cannot reply to  it! All currency amounts  are in US
  6.   dollars. These prices  are valid as of August  1992, but may change
  7.   in  the future:  The Software   Loft reserves  the right  to change
  8.   prices without  notice. Each RExL registration  includes a 225 page
  9.   printed and  indexed manual, but  unless otherwise specified,  only
  10.   one copy of RExL on disk. See LICENSE.DOC for exact details.
  11.  
  12.               /------------------+-------------------\
  13.               |  Copies of RExL  |  Price per unit   |
  14.               |------------------+-------------------|
  15.               |       1..5       |       $75         |
  16.               |       6..10      |       $69         |
  17.               |       11..20     |       $64         |
  18.               |       21..50     |       $59         |
  19.               |       51..       |       $54         |
  20.               \------------------+-------------------/
  21.  
  22.  /----------------------------------------------------------+-------\
  23.  |                                                          |       |
  24.  | Registration of ___________ copies of RExL v2.11         |$_____ |
  25.  |                                                          |       |
  26.  +----------------------------------------------------------+-------+
  27.  |                                                          |       |
  28.  | Extra source code modules, each choice at $15.00         |$_____ |
  29.  | List here: (ie 1, 4, 6 and 8A & 8B)                      |       |
  30.  |                                                          |       |
  31.  |                                                          |       |
  32.  |                                                          |       |
  33.  +----------------------------------------------------------+-------+
  34.  | Full-time student 15% discount on above (include proof)  |$      |
  35.  +----------------------------------------------------------+-------+
  36.  | Subtotal                                                 |$      |
  37.  +----------------------------------------------------------+-------+
  38.  | Irish residents add 21% Value Added Tax to Subtotal      |$      |
  39.  +----------------------------------------------------------+-------+
  40.  |                                                          |       |
  41.  | P&P in UK and Ireland                             $ 3.50 |       |
  42.  |                                                          |       |
  43.  | P&P outside UK and Ireland (Same day airmail)     $11.25 |$_____ |
  44.  |                                                          |       |
  45.  +----------------------------------------------------------+-------|
  46.  | Grand total                                              |$      |
  47.  \----------------------------------------------------------+-------/
  48.  
  49.  Credit cards are  debited in Irish Pounds for  orders inside Ireland
  50.  and US dollars for orders outside  Ireland. Please bear this in mind
  51.  if your country's exchange rate is changing rapidly.
  52.  
  53.  
  54. Diskette media: (circle one) -------------- [720k 3.5"]  [360k 5.25"]
  55. (Will send 720k if no type specified)
  56.  
  57. Payment by:
  58. Check/Money Order No: ____________________ enclosed for $____________
  59.  
  60. Or Charge: Access/MasterCard [ ] Visa [ ] Expiry Date: ______________
  61.  
  62. Card Number:  [___________]  [__________]  [__________]  [__________]
  63.  
  64. Name on Card: _______________________________________________________
  65.  
  66. Signature: __________________________________________________________
  67.  
  68. Mailing Address:
  69.  
  70.   Name: _____________________________________________________________
  71.  
  72.   Address Line 1: ___________________________________________________
  73.  
  74.   Address Line 2: ___________________________________________________
  75.  
  76.   Address Line 3: ___________________________________________________
  77.  
  78.   Address Line 4: ___________________________________________________
  79.  
  80.   Day Phone: ________________________ Evening: ______________________
  81.  
  82.   Fax _______________________________________________________________
  83.  
  84.   (Please include international dialing codes with 'phone numbers)
  85.  
  86. [-------------------------------------------------------------------]
  87.  
  88. RExL Distribution Code: _____________________________________________
  89. (Type "rexl /?" to get it. It helps us to distribute RExL effectively)
  90.  
  91. [-------------------------------------------------------------------]
  92.  
  93. Send your order to:       The Software Loft,
  94.                           Kiemar House,
  95.                           Shanakiel Road,
  96.                           Cork City,
  97.                           Ireland.
  98.  
  99. Tel:                      [+353] 21-302511
  100. Fax:                      [+353] 21-343562
  101.  
  102. Compuserve:               100042,1237
  103.  
  104. Internet/Bitnet:          softloft@iruccvax.ucc.ie
  105.  
  106. [-------------------------------------------------------------------]
  107.  
  108. I acquired RExL v2.11 from
  109.  
  110.   [ ] - A friend                     [ ] - Computer club
  111.   [ ] - Electronic bulletin board    [ ] - Computer store
  112.   [ ] - Magazine cover disk (which?) [ ] - Internet/Usenet/Compuserve
  113.   [ ] - Other: [___________________________________________________]
  114.  
  115. We  would also  appreciate any  comments or  ideas which  you have on
  116. RExL.  If there  is  some feature  or function  that  you  would like
  117. included, then please let us know. We value your comments!
  118.  
  119.        Thank you for supporting Shareware  -  The Software Loft
  120.