**************************************************************************** * * * VB SERVANTS 3.0 (FOR MICROSOFT VISUAL BASIC 3.0) AUSTRALIAN ORDER FORM * * * **************************************************************************** ********************** CUSTOMER DETAILS ************************************ NAME: POSITION: STREET ADDRESS: SUBURB: POSTCODE: COUNTRY: PHONE: FAX: EMAIL: COMPUSERVE: ************************ ORDER DETAILS ************************************* SINGLE USER LICENSE (Aus$30): YES/NO SITE LICENSE (Aus$90): YES/NO CREDIT CARD TYPE (B/C; VISA; MASTERCARD): CREDIT CARD NUMBER: CREDIT CARD EXPIRY DATE: NAME ON CREDIT CARD: ************************ SEND YOUR ORDER TO ******************************** Learning Freedom 10 Birdwood Ave Springwood 2777 NSW Australia Phone: 047-54-3266 Fax: 047-51-5946 Email: ianbarns@zeta.org.au Credit cards OR cheques & money orders in Australian dollars ONLY will be accepted. Use the above adress for support enquiries.