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Text File  |  2000-07-19  |  2KB  |  46 lines
  1.                Jadeware MAIL & E-MAIL Order Form 
  2.  
  3. Name (Please Print) ________________________________________________________
  4. Address ____________________________________________________________________
  5. City _________________________ State/Province ______________________________ 
  6. ZIP/POSTAL CODE ___________________ Country  _______________________________ 
  7. Phone/Fax __________________________________________________________________
  8.  
  9. Signature:   ________________________________________   *** Thank you! ***
  10.  
  11. PRODUCT  (ON CD)                         US/CAN          EUROPEAN
  12.  
  13. ULTRANIUM:
  14. [ ] ULTRANIUM 1                          $15.00        14 Euro / 90FF
  15. [ ] ULTRANIUM 2                          $20.00        18 Euro / 115FF
  16. [ ] ULTRANIUM 3D                         $25.00        23 Euro / 149FF
  17. [ ] ULTRANIUM 1,2 & 3D                   $40.00        36 Euro / 239FF
  18.  
  19. SHIPPING CHARGES:                      | TOTALS:
  20. [ ] USA/CAN: $5, EUROPE: 4 Euro / 25FF |      Charges: $/Euro/FF____________
  21. [ ] All other countries: $10           |      Total:   $/Euro/FF____________
  22.  
  23.  
  24. Make checks payable to "jadeware".  
  25. Allow one to three weeks for delivery.
  26.  
  27. Mail to:  Jadeware
  28.           1 rue du petit biard
  29.           95690 LABBEVILLE    FRA
  30.  
  31. E-Mail to: order@jadeware.org
  32.  
  33.  
  34. -=-=-+ If you have the time..... +-=-=-
  35.  
  36. Where did you get ULTRANIUM from?
  37.  
  38. Downloaded from:
  39. [ ]        BBS: Name: ______________________________________________________
  40. [ ]        Internet FTP Site: Site Name: ___________________________________
  41.  
  42. Other:
  43. [ ]        A friend gave it to me
  44. [ ]        None of the above
  45. [ ]        Unknown
  46.