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Text File  |  1993-05-18  |  2KB  |  52 lines
  1.                           RECONCILE VERSION 1.30
  2.                         Registration and order form
  3.  
  4.   Name:      __________________________________________________________
  5.  
  6.   Company:   __________________________________________________________
  7.  
  8.   Address:   __________________________________________________________
  9.  
  10.              __________________________________________________________
  11.  
  12.   Postcode/Zipcode:  ____________________  Country:   _________________
  13.  
  14.   Telephone: __________________________________________________________
  15.  
  16.  
  17.   Please supply ____ registered copies of Reconcile at a cost per copy:
  18.  
  19.              US: $24.00, plus $4.00 shipping ($8.00 outside USA)
  20.              UK: ú15.00, plus ú3.00 insured shipping.
  21.  
  22.   I wish to pay by:
  23.                                           US      UK
  24.  
  25.              American Express            n/a     ____
  26.              Diners Club                 n/a     ____
  27.              Mastercard                  ____    ____
  28.              Visa                        ____    ____
  29.              Eurocheque                  n/a     ____
  30.              International money order   n/a     ____
  31.              Postal/money order          ____    ____
  32.              Personal cheque             ____    ____
  33.  
  34.    If paying by credit card or Eurocheque, please complete below:
  35.  
  36.    I authorise you to charge my credit card the sum of __________
  37.  
  38.    Name on card: _____________________________________________________
  39.  
  40.    Card number:  ________________________  Expiry date: ______________
  41.  
  42.    Signature:    _____________________________________________________
  43.  
  44.  
  45.    Please send this form, and payment if appropriate, to:
  46.  
  47.             USA:     Shareable Software International, Inc
  48.                      PO Box 59102, Schaumburg, IL 60159
  49.  
  50.             UK:      The Thompson Partnership
  51.                      Church Croft, Bramshall, UTTOXETER,
  52.                      Staffs. ST14 5DE.