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ORDER.FRM
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1996-01-04
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QUIZZY v1.01 : ORDER FORM JKS Development
If you prefer to order by telephone or on-line then please refer to
information given on Registration screen.
To order by post, simply select one of the following agents and delete the
other entries. Please ensure that you complete all sections, especially
your Name, Address, and Reference Number (See Registration screen in program)
You may register additional copies for family and friends at a fraction of
the normal fee when you register one copy at full price.
Once your order has been processed you will be sent a license number which
will 'unlock' your current copy of the program, and all future releases
which will be available through Shareware Libraries, BBS's, On-line services,
Internet FTP and Shareware CD-Roms.
Thank you for helping keep shareware alive!
John King
------- Delete as appropriate -------
*USA*
Motes Eductional Software First Copy = US$15.00 Further Copies = US$4.50
PO Box 575 Inc.
Siloam Springs Mastercard / Visa / Cheque
AR 72761
USA
*UK*
Minerva Online First Copy = UK9.95 Further Copies = UK3.95
c/o Seaforths Travel Shipping and Handling UK3.00
Oswald House Visa / Mastercard / AMEX / Diners / UK Cheque
284 South Town Road
Great Yarmouth
Norfolk
United Kingdom
NR31 0JB
Red Dragon Shareware First Copy = UK19.95 Further Copies = UK4.95
Rhyl Shipping and Handling UK3.00
Clwyd Visa / Mastercard / UK Cheque
UK
LL18 4NP
* Netherlands / Belgium *
De Deugd Automatisering First Copy = NFL30,00 Further Copies = NFL12.00
PO Box 22 Shipping and Handling NFL10.00
1900 A.A. Castricum Visa / MC / AMEX / Diners / Cheque / Banknotes
Netherlands (Belgian Currency : add NFL15.00 to current
exchange rate)
* Switzerland *
Skyline First Copy = sFr20,00 Further Copies = sFr5,00
Postfach Shipping and Handling sFr6.00
CH-3920 Visa / Bank Check / Post Check / Money Order
Zermatt
VS
Switzerland
* Australia *
BudgetWare First Copy = Aus$22.00 Further Copies = Aus$9.00
PO Box 496 Shipping and Handling Aus$5.00
Newtown Cash / Money Order / Visa / Mastercard / Bankcard
NSW 2042
Australia
* France, French Speaking Belgium / Switzerland *
WindowShare SARL First Copy = 175FF Further Copies = 45FF INC.
46-48 Route de Thionville Visa / Mastercard / Cheque / Eurocheque / M.O.
Zone Maison Neuve
57140-WOIPPY
France
(1st) : Reference Number___:___:___:___:___:___:___
(2nd) : Reference Number___:___:___:___:___:___:___
(3rd) : Reference Number___:___:___:___:___:___:___
** Add more if neccessary **
Name ______________________________________________
Address ______________________________________________
______________________________________________
______________________________________________
Postcode / Zip ______________ Telephone ____________________
e-mail ______________________________________________
Total Payment ________________ for ______ copy(ies)
Currency ___________________________
Payment Method Check(eque) ( ) Money Order ( ) BankNotes ( ) EuroCheque ( )
* Credit Card Orders *
Mastercard ( ) Visa ( ) Amex ( ) Diners ( ) Discover ( )
Bankcard ( )
Names as shown
on Card ______________________________________________
Address ______________________________________________
(If different)
______________________________________________
______________________________________________
Postcode / Zip _______________
Card Number ______________________________________________
Expiry Date ___ / ___
Total Amount _________________ Currency ___________________
SIGNATURE ______________________________________________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Where did you get this program from?
BBS ( ) Compuserve ( ) AOL ( ) Microsoft Network ( ) Other ( )
Internet ( ) Shareware CD-Rom ( ) Cover Disk ( )
Details _________________________________________
Which features would you like to see in a future release of this program, or
in an entirely new program?
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
* * * * STANDARD DISCLAIMER / AGREEMENT * * * *
Users of QUIZZY must accept this disclaimer of warranty:
"QUIZZY is supplied as is. The author disclaims all warranties,
expressed or implied, including, without limitation, the
warranties of merchantability and of fitness for any purpose.
The author assumes no liability for damages, direct or conse-
quential, which may result from the use of QUIZZY. "
QUIZZY is a "shareware program" and is provided at no charge to the
user for evaluation. Feel free to share it with your friends, but
please do not give it away altered or as part of another system.
The essence of "user-supported" software is to provide personal
computer users with quality software without high prices, and yet
to provide incentive for programmers to continue to develop new
products.
You are encouraged to pass a copy of QUIZZY along to your friends
for evaluation. Please encourage them to register their copy if
they find that they can use it. Take advantage of our multiple
registration discount offer!
I agree Signed __________________________________ Date __________