F#: 253-0090-000
To order VUIMAGE PLUS(tm), please fill out this form and send along with
check or money order (or fill out credit card information) to:
Offe Enterprises (Attn: Orders) Tel:708-357-6679
1163 E. Ogden Avenue, Suite #705-131 BBS:708-357-6680
Naperville, IL 60563, USA Fax:708-357-6683
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(PLEASE PRINT OR TYPE)
End User Name (individual): _____________________________________________

Company (if applicable): ________________________________________________

Address to ship to: ________________________________________________

________________________________________________

________________________________________________

Phone: Day:___________________ Eve:_________________ Fax: _______________

Signature: _______________________ Date: ____________

Option 1, Single user: Disk + printed manual, pre-registered to End User above
Option 2, Single PC: Disk + printed manual + registration card + case
(Call for network license pricing, volume discounts etc.)
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QUANTITY DESCRIPTION UNIT PRICE TOTAL
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____ VUIMAGE PLUS(tm) single user license-Option 1 US$40.00 ________
____ VUIMAGE PLUS(tm) single user license-Option 2 US$60.00 ________
____ _____________________________________________ ________ ________
Additional Taxes* ________
Additional Shipping Charges (Intl/COD/Overnight)* ________
__5.25 in __3.5 in __Either Total US $ ________
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* Price includes taxes and shipping within USA. Add US $5.00 for outside USA.

Check/Money Order enclosed for US $ ___________

I hereby authorize the above amount to be charged to my Mastercard__ VISA__

Account #___________________________, EXP: _____

Name on card: _________________________ Signed: __________________
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VUIMAGE(tm) Version # (upper left corner of main menu): 3.40____ Other_____

Place obtained from : ______________________________________Tel:___________

Main Interest: GIF ___ TIFF ___ PCX ___ View ___ Print ___ Others ___

Type of Computer __________________ Type of Operating System ______________

Type of video card/monitor ________________________________________________

Additional Comments: ______________________________________________________

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