Please print out and complete this form clearly using block letters, and send it together with your payment to:
Dr. D. K. Bhanot
12, Jalan SS 19/4G
47500 Subang Jaya
Selangor
MALAYSIA
Please make all cheques/money orders payable to DR. D. K. BHANOT.
I wish to order ____ copy/copies of DR. D. K. Bhanot's Malay Dictionary licensed to the following registered user:
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* I enclose herewith a non-Malaysian cheque/money order no.
for US$__________ (U.S. currency) being payment for _____ registered copy/copies of the said software.
* I enclose herewith a Malaysian cheque/money order no.
for RM__________(Malaysian currency) being payment for _____ registered copy/copies of the said software.
(* Delete whichever is not applicable)
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