|
Fax Order Form for
WordStar Command Emulator
for Word 97/2000
(SWREG # 94157723017)
|
To order by fax using a credit card, please print
out this document, complete it and fax to Soft Shop.
|
North America: 978 - 3360331
USA: 888 - 761 8826 toll
free
|
UK: 01297 553366
Finland: 0925 360011
Switzerland: 0127 42077
New Zealand: 09 3531352
Ireland: 09 3531352
|
Netherlands: 0208 845094
France: 0153 010904
Australia: 0294 754008
Germany: 0441 8009935864
Italy: 0295 441197
|
|
|
The following numbers are for manually
dialled fax machines only. When asked for the receiving number enter
441297553366 - do not leave voicemail messages please. Please allow
one or two working days for faxes to be collected.
|
|
China: Beijing
010 - 8528 2210
|
China: Ghuang Zhou
020 - 86641227
|
Hong Kong:
0285 99000
|
India: Baroda
0265- 335224/40
|
India: Calcutta
33 - 5562689
|
|
India: Gandhinagar
027 - 1238 301
|
India: Mumbai
022 - 3051875
|
India: Surat
0261 - 671540/1
|
Japan:
03 - 33192007/1012
|
Malaysia:
03 - 6322897
|
|
Singapore:
0272 0433
|
Taiwan:
0287 - 800374/5/6/7 |
|
|
|
Ship-To Name & Address:
|
First/Middle Name:
|
Last Name:
|
|
Company name:
|
|
Address:
|
|
|
|
Phone + Fax
|
|
Your email address:
|
|
Card number (MC, Visa, Amex, Discover, Switch, Delta,
Eurocard, Diner's):
|
Expires- Month: Year::
Start Date (Diners only):
Issue Number (Switch only):
|
|
Credit Card Holder's Name & Address for verification:
Do NOT enter the BANK's name or address in the fields below. Enter the
address where the cardholder receives the statements. (Only fill out the
spaces below if the credit card holder's name or address is DIFFERENT
from the Ship-To name and address entered in the spaces above.)
|
Name on the card:
|
Company name:
|
|
Address:
(if different to avove)
|
Order Details
|
Item
|
Price
|
Quantity
|
Subtotal
|
|
Single User Licence
|
$US34.99
|
|
|
|
5-user Licence
|
$US149.99
|
|
|
|
10-user License
|
$US279.99
|
|
|
|
Fax handling fee:
|
$US3
|
1
|
$3
|
|
Email delivery
(please allow a few days for processing):
|
Free
|
|
|
|
Shipping and handling, postal
(please allow for international mail delivery):
|
$US10
|
|
|
|
Total Order Amount in US Dollars
|
|
|
Card holder will pay card issuer above amount pursuant
to cardholder agreement
|
Signature: __________________________________
|
|