┌────────────────────────────────────────────────────────────────────────────┐
│ MSmac Software - ORDER FORM │
│ │
│ Company/BBS: [_________________________________________________________] │
│ │
│ Name: [________________________________________________________________] │
│ │
│ Street: [______________________________________________________________] │
│ │
│ City: [____________________________] State: [____] Zip: [__________] │
│ │
│ Country: [__________________________] Data phone: [_________________] │
│ │
│ Voice phone: [________________] Fax phone: [_________________] │
│ │
│ Internet address: [____________________________________________________] │
│ │
│ Fidonet address: [_________________] Compuserv ID: [__________________] │
│ │
│ Receive your Registration code by: │
│ │
│ [ ] Internet Email [ ] Fidonet Netmail [ ] on Compuserv [ ] Mail │
└────────────────────────────────────────────────────────────────────────────┘
┌────────────────────────────────────────────────────────────────────────────┐
│ - VERY IMPORTANT - │
│ │
│ SYSOP NAME: [________________________] (Exact name, Like in PCBSetup) │
│ │
│ REGISTRATION NAME: [___________________________________________] │
└────────────────────────────────────────────────────────────────────────────┘
┌────────────────────────────────────────────────────────────────────────────┐
│ │
│ Price Total │
│ Qty Description Each │
│ ─── ──────────────────────────────────────────────── ───── ──────── │
│ │
│ [ ] ORGANIZER full-function PPE ($20 USD/3000$00 ESC) 20.00 = ──────── │
│ [ ] WHOCALL full-function PPE ($10 USD/1500$00 ESC) 10.00 = ──────── │
│ [ ] RESUME full-function PPE ($10 USD/1500$00 ESC) 10.00 = ──────── │
│ [ ] FTPMAIL full-function PPE ($10 USD/1500$00 ESC) 10.00 = ──────── │
│ [ ] UPL full-function PPE ($20 USD/3000$00 ESC) 20.00 = ──────── │
│ │
│ [ ] Package with all Programs ($50 USD/7500$00 ESC) 50.00 = ──────── │
│ │
│ [ ] Shipping and handling (media 3½) ** 3.00 = ──────── │
│ │
│ ** download direct from MSmac BBS ** Total = ──────── │
│ ** and avoid s&h charges ** │
│ │
│ │
│ Method of payment: [ ] Visa [ ] Mastercard [ ] Check [ ] Money │
│ (only USD and ESC) │
│ │
│ Credit card information -> Card #: [ ____ - ____ - ____ - ____ ] │
│ │
│ Expires: [ __ / __ ] │
│ │
│ │
│ ───────────────────────────────────────────── │
│ Signature │
└────────────────────────────────────────────────────────────────────────────┘
┌────────────────────────────────────────────────────────────────────────────┐
│ If you want to have an account on MSmac BBS(R), please answer: │
│ │
│ LOGIN NAME: [_________________________] │
│ │
│ PASSWORD: [____________] │
└────────────────────────────────────────────────────────────────────────────┘
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Mail this completed form to: MSmac, Lda.
R. Princesa M. Benedita, Nº4 - 1º Drt.
2560 Torres Vedras - Portugal
or phone to: 351-61-313834 / 351-61-315380
(Talk to Mr. Luis Silva, Sysop of MSmac BBS)
or fax to: 351-61-314632
or register on-line: MSmac BBS(R)
351-61-314336 / 351-61-314504 / 351-61-314632
Run command MSREG and receive your CODE Online
or send by fidonet to: 2:362/6
or send by internet email to: "vitor.simao@msmac.atlantis.puug.pt"
or to the following addresses:
"pedro.chaves@msmac.atlantis.puug.pt"
"luis.silva@msmac.atlantis.puug.pt"
"sales@msmac.atlantis.puug.pt"
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