Category : Windows 3.X Files
Archive   : ZIPW13.ZIP
Filename : ORDERFRM.TXT

ORDER FORM FOR FLASHPOINT ZIP/ZIPX FOR WINDOWS
(Version 3.01.03, Preliminary Release 3 -- January 14, 1992)
_____________________________________________________________________

Mail Credit Card Orders to: Mail Non-Credit Card Orders to:

PsL FlashPoint Development
P. O. Box 35705 Attn: Richard S. Patterson
Houston, Texas 77235-5705 P. O. Box 270492
Houston, Texas 77277

Checks, Money Orders and drafts must be made
payable to "Richard S. Patterson"
____________________________________________________________________

Registration/License Fee (Per User/Copy):

Quantity: _____ users/copies at $49.50 $ _________
Less: Quantity Discount of ______ % ( _________ )
Less: Special Discount of ______ % ( _________ )
Total Registration/License Fees $ _________

Site License Fees (see FEES.WRI/TXT file):

Quantity: ______ users/copies at $ _________
Less: Special Discount of ______ % ( _________ )
Total Site License Fees _________

Media Charges for Additional Disks Ordered:

_____ 5.25" disk at $ 9.00 each $ _________
_____ 3.50" disk at $10.00 each _________
Total Media Charges _________

Special Handling Charges:

International Orders: Shipping &
Handling, _______ disks at $7.00 $ _________

Non-U.S. Bank Draft, Check & Money
Order Fees:
Canada $15.00 _________
International $25.00 _________
Total Special Handling Charges _________

TOTAL PAYMENT DUE (U.S. FUNDS): $ _________
____________________________________________________________________

Credit Card Orders: Credit Card: Mastercard ______ Visa _______
Card Number: _________________________________
Expiration Date: ________________

Card Holder Signature: ________________________
____________________________________________________________________


ORDER FORM FOR FLASHPOINT ZIP/ZIPX FOR WINDOWS PAGE 2
(Version 3.01.00, Preliminary Release -- January, 1992)
____________________________________________________________________

Registered Users' Names (attach additional sheets if necessary):

____________________________________________________________________

Purchaser's Name and Shipping Address (Physical and Mailing):




____________________________________________________________________

Purchaser's Authorized Representative/Contact Person and Title:

____________________________________________________________________

Telephone Number(s) (specify day and evening):

____________________________________________________________________

Current Version of Application Registering:
____________________________________________________________________

Payment Method: Cash [ ] Money Order [ ] Credit Card [ ]
Check [ ] Purchase Order [ ] PO No. ______________
____________________________________________________________________

Where or How did you learn of this product:

____________________________________________________________________

Purchaser acknowledges that purchaser or purchaser's representative
has read the terms and conditions contained in the application's
distribution/evaluation package as well as the applications' "About"
dialog panels, and agrees to be bound thereby and by any other
license agreements contained with any product registered, purchased
or shipped. Furthermore, as indicated in the application's distri-
bution/evaluation package, purchaser understands the software and
documentation are provided "as is" and without warranty of any kind,
either express or implied. Purchaser warrants and represents that
the software and documentation will only be used in accordance with
the aforementioned license agreements.


Printed Name: ________________________________________

Signature: ________________________________________
Date: ______________