Monkey Shines Registration / Order Form

Mail this completed form with payment to:				                     Fantasoft, LLC
																																																																																				                     P.O. Box 14261
Call us at:  (608) 222-8468	to order by phone           Madison, WI 53714-0261
Fax this form to us at:  (608) 222-8468               			    USA

Or email the info requested below to   fantasoft1@aol.com

Last Name                                                                             First Name                                            

Address                                                                                                                         Apt#             

                                                                                                                                                           

City                                            State                 Zip/Post Code                     Country                       

Phone Number:                                       E-Mail Address:                                                                  
 
I would like to register:

Monkey Shines and Level Editor.......................................................................Yes____$20

I would like to order software files on Disk/CD-ROM by mail:

Latest version of Monkey Shines on floppy disk (unregistered)*...................Yes____$7

Latest version of ALL Fantasoft games on CD-ROM..........................................Yes____$6

• Foreign orders add $3 for postage and handling.    Total Due = $