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Text File  |  1996-06-30  |  4KB  |  131 lines
  1.  
  2.                        Ineractive Multi Action Game
  3.  
  4.                                  - IMO -
  5.  
  6.                              for Windows 95
  7.  
  8.                            Share Ware Version
  9.  
  10.                                ORDER FORM
  11.  
  12.  
  13. DISK SIZE: (Check One)       [  ]3.5" 1.4M   [  ]3.5" 720k
  14.                              [  ]5.4" 1.2M
  15.  
  16. Quantity: payable in U.S. Dollars.
  17.  
  18.           Program...            $30.00 x ______ = $___________
  19.  
  20.           Shipping...            $7.00 x ______ = $___________
  21.  
  22.           Total...                                 $
  23.                                                     ===========
  24.  
  25.                   in Japanese, Yen.
  26.  
  27.           Program...          3,000 yen x ______ = ___________ yen
  28.  
  29.           Shipping...           500 yen x ______ = ___________ yen
  30.  
  31.           Total...                                 
  32.                                                    =========== yen
  33.  
  34. PAYMENT TYPE:(Check One)    [  ]AMEX CARD  [  ]Bank  [  ]Money Ship
  35.  
  36.          [  ] for AMEX form:
  37.  
  38.                   Cardmember Acct No.__________________________________
  39.  
  40.                   Cardmember name______________________________________
  41.  
  42.                   Cardmember Valid Dates_______________________________
  43.  
  44.  
  45.                   Cardmember Signature_________________________________
  46.  
  47.          [  ] for Bank:
  48.  
  49.                   In JAPAN. DAIICHI KANGYOU BANK
  50.                   branch No.267(MACHIDA)
  51.                   account No.1885441
  52.                   account Name:GOLDEN WEEDS PROJECT
  53.                                DAIHYOU YAMASAKI YUKINORI
  54.                   phone:(JAPAN)-427-23-0005
  55.  
  56.          [  ] for Money ship
  57.  
  58.                   Peerage AOYAMA5-214,           
  59.                   4-9-8 Nakamachi, Machida-shi,  
  60.                   Tokyo, JAPAN 194               
  61.                   Golden Weeds Project Japan     
  62.                   Yukinori Yamasaki              
  63.                   Voice (81)427-39-7672
  64.                   FAX   (81)427-39-7671 (AutoDetect)
  65.                   
  66.                   When shipping money, within this order form into envelope.
  67.  
  68.  
  69. Name:__________________________________________________________________
  70.  
  71. Company:_______________________________________________________________
  72.  
  73. Street address:________________________________________________________
  74.  
  75. City:_____________________________________ ZIP code:___________________
  76.  
  77. Phone:______________________________ FAX:______________________________
  78.  
  79. Where did you get this program?  [  ]BBS  [  ]Friend  [  ]FTP [  ]other
  80.  
  81.             from BBS:(name)_______________________
  82.  
  83.                      (ID)_________________________
  84.  
  85.        from FTP site:(name)_______________________
  86.  
  87.     (your E-Mail address)_________________________
  88.  
  89.             other:________________________________
  90.  
  91. What do you use about machine...
  92.  
  93. CPU: [  ]386SX   [  ]386DX   [  ]486SX   [  ]486DX  [  ]Pentium  [  ]P6
  94.  
  95.      [  ]other__________________________
  96.  
  97. Cache:_________KB   Processor speed:_________MHz
  98.  
  99. RAM:__________MB   Harddisk:__________MB
  100.  
  101. Video board: [  ]CGA or lower   [  ]EGA   [  ]VGA   [  ]SVGA
  102.  
  103.              [  ]other:_________________________
  104.  
  105. Video memory:___________KB
  106.  
  107. Sound card: [  ]Sound Blaster   [  ]Sound Blaster Pro
  108.  
  109.             [  ]Gravis Ultra Sound  [  ]Gravis Ultra sound MAX
  110.  
  111.             [  ]Pro Audio Spectrum
  112.  
  113.             [  ]other__________________________________________________
  114.  
  115. And any else questions? or request?
  116. (If you have many questions, You can send by InterNet-Mail.)
  117. (My address is gwp@ppp.bekkoame.or.jp / http://www.bekkoame.or.jp/~gwp )
  118.  
  119.   _____________________________________________________________________
  120.  
  121. Thank you for filling this form out. all text on the check must be in the
  122. english language or japanese language. Then this order form send by Air 
  123. mail or FAX:
  124.  
  125.       by airmail... look at upper "PAYMENT TYPE for BANK"
  126.  
  127.       by FAX:(81)-427-39-7671 (FAX and VOICE auto detect)
  128.          ex.)from U.S.  011-81-427-39-7671
  129.  
  130.                       Golden Weeds Project Japan
  131.