Icolib Order Form Version 3 ================= --------- Name: __________________________________________________ Company: __________________________________________________ Address: __________________________________________________ City: ___________________________ State: _______________ Country: _______________________ Post/Zip Code: ___________ Your Email Address: ___________________________________________ Where did you obtain this program from: ________________________________________ Payment: ======= All amounts are in US DOLLARS but other currencies to an equivalent amount are happily accepted. Icolib program: ____ copies = $_______ 1 license no discount. (US$20.00) 2 - 5 licenses 20% discount. (US$16.00 each copy) 6 - 20 licenses 35% discount. (US$13.00 each copy) 21 + licenses 50% discount. (US$10.00 each copy) >>>> Registered users of ICOLIB02. (US$ 5.00 P&H only) Cash (any currency accepted) No extra charge $ 0.00 Check or Money Order (bank charges) Add US$4.00 $_______ (personal checks will be accepted) Total $_______ Please specify your disk size: (High Density Only) Send by Email: ____ Post: 5.25" disk ____ 3.5" disk ____ Make your payment to Stephen Balogh, and send it to: PO Box 414 Caulfield East Melbourne AUSTRALIA 3145 I will send a copy of Icon Library with the full set of icons as soon as I receive your registration. Comments: ======== ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ If you have access to the Internet then I can be contacted at: steve@cc.monash.edu.au