home *** CD-ROM | disk | FTP | other *** search
/ Amiga Plus Special 24 / AMIGAplus Sonderheft 24 (2000)(Falke)(DE)[!].iso / PublicDomain / Anwendungen / CycasDemo1.78_Install / english / Visa-OrderForm < prev    next >
Text File  |  1998-09-30  |  2KB  |  69 lines
  1.  
  2.       Visa Mail-Order form:
  3.  
  4.       Name:__________________________________
  5.  
  6.       Street, Nr.:___________________________
  7.  
  8.       ZIP/State:_____________________________
  9.  
  10.       City:__________________________________
  11.  
  12.       Country:_______________________________
  13.  
  14.       EMail:_________________________________
  15.  
  16.       Visa Card Number:______________________
  17.  
  18.       Expire Date:___________________________
  19.       ____________________________________________________________
  20.  
  21.           To:
  22.           Verlag Anja C. Frese                Fax: ++49 5722/90031
  23.           Wilhelm-Busch Str.18                EMail: cycas@core.de
  24.           D-31675   Bueckeburg
  25.           Germany
  26.       ____________________________________________________________
  27.  
  28.       ORDER:
  29.       I accept the delivery and payment conditions mentioned below
  30.       and order:
  31.  
  32.       Product:                              Quantity:       Price:
  33.  
  34.       CYCAS 1.78 with english HTML.guide    _________   * 169.-US$
  35.  
  36.       CYCAS 1.78 with english HTML.guide    _________   *  99.-UK£
  37.  
  38.       CYCAS 1.78 with english HTML.guide    _________   * 299.- DM
  39.  
  40.       Delivery via E-Mail                                    -
  41.  
  42.                on floppy disk via Snailmail             +   3.-US$
  43.  
  44.                                                         +   2.-UK£
  45.  
  46.                                                         +   5.- DM
  47.       ____________________________________________________________
  48.  
  49.                                                 Total:    _____US$
  50.  
  51.                                                           _____UK£
  52.  
  53.                                                           _____ DM
  54.       Delivery and payment conditions:
  55.  
  56.       Price:       incl. taxes.
  57.       Delivery:    via Deutsche Post AG / or E-Mail
  58.                    after  the  full amount  was  received/cleared.
  59.       Reservation: All  products  remain  unrestricted property of
  60.                    Verlag Anja C. Frese  untill  complete payment.
  61.                    Exchange of software is  impossible. Changes of
  62.                    the conditions reserved.
  63.  
  64.       If you accept this offer please fill out  the quantity, your
  65.       name, address, Visa Card Number and  the Expire Date of your
  66.       Visa Card and send this Visa oderform to us.
  67.       ____________________________________________________________
  68.                                               Verlag Anja C. Frese
  69.