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Text File  |  1995-06-09  |  3KB  |  91 lines
  1.  
  2.  
  3.                                                   ORDER FORM
  4.  
  5. To order your copy of Japanese WordMaster (including bonus 100,000+ word supplementary dictionary)...
  6.  
  7.     • fill in your personal details below
  8.     • choose the product(s) you wish to order
  9.     • select your preferred payment method
  10.     • send this form with your payment to Lava Software:
  11.  
  12.    Postal address:             GPO Box 215, Adelaide, Australia, 5001
  13.    Telephone / Fax:          International     +618-235-0003
  14.                                       Australia            (08)  235  0003
  15.    Internet E-mail:            LavaSoftware@eworld.com
  16.  
  17. Note: For fastest delivery, order with your credit card via fax or email. We will then be able to despatch your order the same day. All orders are sent via airmail - express international courier delivery also available.
  18.  
  19.  
  20. **********************************************************
  21. Please print your details clearly in capital letters under each item below.
  22.  
  23. Name
  24.  
  25.  
  26. Street address / Post Office Box / Department
  27.  
  28.  
  29. Suburb / Educational Institution Name
  30.  
  31.  
  32. Town / City
  33.  
  34.  
  35. State / Province                 Postal Code
  36.  
  37.  
  38. Country                              Telephone number (include area code)
  39.  
  40.  
  41.                                            Fax. number (include area code)
  42.  
  43.  
  44. **********************************************************
  45.  
  46. (All prices in US dollars)                                            Unit Price     Subtotal
  47.  
  48.        Japanese WordMaster v3.0                                            $129.00
  49.      Japanese WordMaster v3.0 (Academic price)*            $  99.00
  50.  
  51.        JWM MultiUser Pack                                                  $ 149.00
  52.        JWM MultiUser Pack (Academic price)*                         $ 119.00
  53.                - 1 machine license
  54.        5 x additional machine licenses                                              $ 320.00
  55.        5 x additional machine licenses (Academic price)*     $ 200.00
  56.      10 x additional machine licenses                                            $ 480.00
  57.      10 x additional machine licenses (Academic price)*     $ 300.00
  58.      20 x additional machine licenses                                            $ 640.00
  59.      20 x additional machine licenses (Academic price)*     $ 400.00
  60.  
  61.     Postage and handling
  62.                 Air mail (7-10 days most destinations)                $    9.00
  63.                 Express International Courier (3-4 days)              $   22.00
  64.                                                                                                                              ---------
  65.                                                                                                          Total:
  66.                                                                                                                              ---------
  67. Please select your preferred payment method below...
  68.  
  69. (  ) credit card  (  ) money order    (  ) bank cheque    (  ) other cheque
  70.                       |                                                        (Australia only)
  71.                --------------------------------------------------
  72. (  ) MasterCard           (  ) Visa                       (  ) Bankcard
  73.  
  74. Name on card:
  75.  
  76.  
  77. Card number:
  78.  
  79.  
  80. Expiry date:          /
  81.  
  82.  
  83. Date:                      /       /
  84.  
  85.  
  86. Signature:      _________________________________
  87.  
  88. * Note: A school purchase order or photocopy of your student card (you must be a full-time student to be eligible) is required when applying for academic pricing. Please print the details shown on your student card next to the photocopy of your card (this is required for clarity).
  89.  
  90. Thank you for your order.
  91.