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ORDERFRM.TXT
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1996-10-16
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4KB
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139 lines
Multi Module Music Player
Version 1.00
ORDER FORM
DISK SIZE: (Check One) [ ]3.5" 1.4M [ ]3.5" 720k
[ ]5.4" 1.2M
Quantity: payable in U.S. Dollars.
MMMP Program... $30.00 x ______ = $___________
Shipping... $7.00 x ______ = $___________
If you use check... $30.00 x ______ = $___________
(commission of bank)
Total... $
===========
in Japanese, Yen.
MMMP Program... 3,000 yen x ______ = ___________ yen
Shipping... 500 yen x ______ = ___________ yen
If you use check... 500 yen x ______ = ___________ yen
(commission of bank)
Total...
=========== yen
PAYMENT TYPE:(Check One) [ ]AMEX CARD [ ]Bank [ ]Money Ship
[ ]CHECK
for AMEX form:
Cardmember Acct No.__________________________________
Cardmember name______________________________________
Cardmember Valid Dates_______________________________
Cardmember Signature_________________________________
for Bank:
In JAPAN. DAIICHI KANGYOU BANK
branch No.267(MACHIDA)
account No.1970171
account Name:GOLDEN WEEDS PROJECT CO.,LTD.
DAIHYOUTORISHIMARIYAKU YAMASAKI YUKINORI
phone:(JAPAN)-427-23-0005
for Money ship:
for CHECK:
Yukinori Yamasaki
Golden Weeds Project Co.,Ltd.
Peerage AOYAMA5-214
Machida-shi, Nakamachi4-9-8
Tokyo 194, JAPAN
Phone (+81)427-39-7672
FAX (+81)427-39-7671
When money ship,within this order form into envelope.
Name:__________________________________________________________________
Company:_______________________________________________________________
Street address:________________________________________________________
City:_____________________________________ ZIP code:___________________
Phone:______________________________ FAX:______________________________
Where did you get this program? [ ]BBS [ ]Friend [ ]FTP [ ]other
from BBS:(name)_______________________
(ID)_________________________
from FTP site:(name)_______________________
from WEB site:(name)_______________________
other:________________________________
(yours web address)_________________________
(yours E-Mail address)_________________________
What do you use about machine...
CPU: [ ]386SX [ ]386DX [ ]486SX [ ]486DX [ ]Pentium [ ]G6
[ ]other__________________________
Cache:_________KB Processor speed:_________MHz
RAM:__________MB Harddisk:__________MB
Video board: [ ]CGA or lower [ ]EGA [ ]VGA [ ]SVGA
[ ]other:_________________________
Video memory:___________KB
Sound card: [ ]Sound Blaster [ ]Sound Blaster Pro
[ ]Gravis Ultra Sound [ ]Gravis Ultra sound MAX
[ ]Gravis Ultra Sound PNP [ ]Pro Audio Spectrum
[ ]other__________________________________________________
And any else questions? or request?
(If you have many questions, You can send by InterNet-Mail.)
(My address is software@gwp3d.com. )
_____________________________________________________________________
Thank you for filling this form out. all text on the check must be in the
english language or japanese language. Then this order form send by Air
mail or FAX:
by airmail... look at upper "PAYMENT TYPE for BANK" for address.
by FAX:(+81)-427-39-7671
ex.)from U.S. 011-81-427-39-7672
Golden Weeds Project Co.,Ltd.