REGISTRATION ORDER FORM ----------------------- Please send this completed form to Michael Quinion Associates: By post: 18 Pittville Close, Thornbury, BRISTOL, BS12 1SE, UK By Tel/Fax: +44 1454 411128 By email: sales@quinion.demon.co.uk (Please use the PGP encryption key supplied. In your own interests, do not send credit card details in open text email) By WWW: http://clever.net/quinion/spell/order.htm (This secure order form should be available shortly) You will receive a registration code by fax, email or post. If you are requesting master disks the registration code will be sent with them. Your details ------------ Name: ________________________________________________ Company/org'n: ________________________________________________ Address: ________________________________________________ ________________________________________________ ________________________________________________ Posttown/city: ________________________________________________ County/State: ________________________________________________ Country: ________________________________________________ Zip/Postcode: ________________________________________________ Email address: ________________________________________________ Phone number: ________________________________________________ Fax number: ________________________________________________ Registration ------------ Cost per copy: 1 - 9 £15 10 - 49 £10 50 - 99 £7 100 - 999 £4 1000 - 4999 £2 5000 + £1 Number of copies: ____________ Registration cost: £ ____________ Master disks ------------ If you would like master disks to be posted to you, these are available when registering at cost (£2.50 each within Europe, £3.00 outside Europe). If you are not registering there is an additional handling charge of £5.00. Enter the number of master disks of each language you want: English (UK and US) ______ French ______ German ______ Each master disk contains the dictionaries indicated plus the program files in the same language (except for the German version, which has a German dictionary but program files in English; a German version will follow). Total number of master discs: ________ Total cost: £_____________ Total cost: ----------- Registration: £_____________ Master disks: £_____________ Handling charge (if not registering): £_____________ Within Europe add 17.5% VAT: £_____________ Total amount due: £_____________ Please tick if you require an invoice: [ ] Payment: -------- You may either pay in pounds sterling by means of a cheque drawn on a UK bank (allow three additional days for clearance), or by one of the following credit or debit cards: Visa [ ] Mastercard [ ] Eurocard [ ] Delta [ ] Switch [ ] Name and initials: __________________________________________________ Card Number: ____________________________ Expiry date: ____________ I agree to pay the above total amount: Signed: _____________________________________________________________ Thank you for your order.