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Text File  |  1999-06-18  |  2KB  |  44 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                                    US/CAN            EUROPEAN
  12.  
  13. ULTRANIUM:
  14. [ ] ULTRANIUM 3.5"                         $15.00          75FF / 12 Euro
  15. [ ] ULTRANIUM CD                           $15.00          75FF / 12 Euro
  16.  
  17. SHIPPING CHARGES:                      |TOTALS:
  18. [ ] USA/CAN: $5, EUROPE: 20FF / 4 Euro |Shipping and Handling charges: $/FF/Euro____________
  19. [ ] All other countries: $10           |                        Total: $/FF/Euro____________
  20.  
  21.  
  22. Make checks payable to "jadeware".  
  23. Allow one to three weeks for delivery.
  24.  
  25. Mail to:  Jadeware
  26.           1 rue du petit biard
  27.           95690 LABBEVILLE    FRA
  28.  
  29. E-Mail to: jadeware@hotmail.com
  30.  
  31.  
  32. -=-=-+ If you have the time..... +-=-=-
  33.  
  34. Where did you get ULTRANIUM Episode 1 from?
  35.  
  36. Downloaded from:
  37. [ ]        BBS: Name: ______________________________________________________
  38. [ ]        Internet FTP Site: Site Name: ___________________________________
  39.  
  40. Other:
  41. [ ]        A friend gave it to me
  42. [ ]        None of the above
  43. [ ]        Unknown
  44.