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Text File  |  1997-01-23  |  3KB  |  104 lines
  1. QUICKCOLOR ORDER FORM
  2.  
  3. QuickColor can be ordered over the Internet for US$25 using CyberCash, 
  4. VISA, Mastercard or American Express credit card, or by using the 
  5. Microsoft Payment Selector, from the Virtual Software Store at the 
  6. following site: http://virtualsoftware.com/entech/qcolor
  7.  
  8. To register QuickColor by postal mail, please mail this form to:
  9.  
  10. EnTech Taiwan
  11. 7F-18, Lane 313, FuShing N. Rd.
  12. Taipei, Taiwan
  13. ROC
  14.  
  15. E-mail:         entechtaiwan@msn.com
  16. Internet:       http://www.entech.com.tw
  17.  
  18. Date: 
  19.       __________________
  20.  
  21. Product                                       Price*  Qty Subtotal
  22. ------------------------------------------------------------------
  23.  
  24. QuickColor Registration (no disks)        US$ 20.00   
  25.                                                       ___ ________
  26.  
  27. ------------------------------------------------------------------
  28.  
  29. Registration via E-Mail**                   $  0.00   
  30.                                                       ___ ________
  31.  
  32. Registration via Fax***                     $  2.50   
  33.                                                       ___ ________
  34.  
  35. Shipping via Mail (diskette)****            $  5.00   
  36.                                                       ___ ________
  37.  
  38. ------------------------------------------------------------------
  39.  
  40. Total                                                     
  41.                                                           ________
  42.  
  43. ------------------------------------------------------------------
  44.  
  45. *Payment must be in USD or equivalent by international money order
  46. **Registration number will be e-mailed immediately upon receipt
  47. ***Registration number will be faxed immediately upon receipt
  48. ****Please allow up to 14 days for delivery of a diskette
  49.  
  50. SHIPPING DETAILS
  51.  
  52. Name:             
  53.                   _________________________________________________
  54.  
  55. Title/Department: 
  56.                   _________________________________________________
  57.  
  58. Company:          
  59.                   _________________________________________________
  60.  
  61. Address:          
  62.                   _________________________________________________
  63.  
  64.  
  65.                   _________________________________________________
  66.  
  67. City:             
  68.                   _________________________________________________
  69.  
  70. State/Province:   
  71.                   _________________________________________________
  72.  
  73. Post/ZIP Code:    
  74.                   _________________________________________________
  75.  
  76. Country:          
  77.                   _________________________________________________
  78.  
  79. Phone:            
  80.                   _________________________________________________
  81.  
  82. Fax:              
  83.                   _________________________________________________
  84.  
  85. Internet Mail:    
  86.                   _________________________________________________
  87.  
  88.  
  89. The following information will contribute towards enhancements to,
  90. and refinements of QuickColor.
  91.  
  92. QuickColor will be used under:  [ ] Win95     [ ] WinNT    [ ] Both
  93.  
  94. Graphics chipset (be specific)  
  95.                                 ___________________________________
  96.  
  97. Graphics card manufacturer      
  98.                                 ___________________________________
  99.  
  100. Monitor manufacturer and model  
  101.                                 ___________________________________
  102.  
  103. Thank you for your order.
  104.