home *** CD-ROM | disk | FTP | other *** search
/ Planet Multimedia 2 / GRAFIK.ISO / gwsdos / order.frm < prev    next >
Text File  |  1993-11-27  |  3KB  |  79 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 Order (NOVEL) by Steven William Rimmer,
  37.        $6.99 plus shipping ($2.50 in Canada,
  38.        $3.00 US, $4.50 international)                        $ 6.99 + shipping
  39. [ ] Shareware evaluation disk set (all Alchemy Mindworks'
  40.        current applications, on 3 1/2" disks                 $10.00
  41. [ ] Other
  42.  
  43. Previously registered copies of Alchemy Mindworks shareware
  44. can be updated for $20.00.
  45. _______________________________________________________________________
  46.  
  47. Canadian residents please add GST (it wasn't our idea)    _____________
  48.  
  49. TOTAL                                                     _____________
  50.  
  51. If you're ordering from outside Canada, please make your payment in US
  52. dollars. The exchange more or less covers the extra postage.
  53. _______________________________________________________________________
  54.  
  55. Payment by American Express or Visa card:
  56.  
  57. We can only accept American Express or Visa cards (no MasterCards, please.)
  58. We will need the following information:
  59.  
  60. Credit card number: ______________________________________________________
  61.  
  62. Expiry date: _____________________________________________________________
  63.  
  64. The name as it appears on the card: ______________________________________
  65.  
  66. The signature of its owner authorizing us
  67. to debit it for the amount indicated above: ______________________________
  68.  
  69. _______________________________________________________________________
  70.  
  71. Mail this form to:    Alchemy Mindworks Inc., P.O. Box 500, Beeton,
  72.                       Ontario L0G 1A0, Canada. If you're paying by
  73.               credit card, you can FAX it to 1-905-729-4156.
  74.  
  75. Order toll free by phone at 1-800-263-1138 -- credit card orders only.
  76.  
  77. We ship within 48 hours, but please allow two weeks for delivery.
  78.  
  79.