QUICKCOLOR ORDER FORM

Please mail this form to:

EnTech Taiwan
7F-18, Lane 313, FuShing N. Rd.
Taipei, Taiwan
ROC

E-mail:         entechtaiwan@msn.com
Internet:       http://www.entech.com.tw

Date: 
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Product                                       Price*  Qty Subtotal
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QuickColor Registration (no disks)        US$ 20.00   
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Registration via E-Mail**                   $  0.00   
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Registration via Fax***                     $  2.50   
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Shipping via Mail (diskette)****            $  5.00   
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Total                                                     
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*Payment must be in USD or equivalent by international money order
**Registration number will be e-mailed immediately upon receipt
***Registration number will be faxed immediately upon receipt
****Please allow up to 14 days for delivery of a diskette

SHIPPING DETAILS

Name:             
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Title/Department: 
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Company:          
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Address:          
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City:             
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State/Province:   
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Post/ZIP Code:    
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Country:          
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Phone:            
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Fax:              
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Internet Mail:    
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The following information will contribute towards enhancements to,
and refinements of QuickColor.

QuickColor will be used under:  [ ] Win95     [ ] WinNT    [ ] Both

Graphics chipset (be specific)  
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Graphics card manufacturer      
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Monitor manufacturer and model  
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Thank you for your order.