Exile II   Registration / Order Form

Mail this completed form with payment to:

Mail this completed form with payment to:

Fantasoft, LLC
P.O. Box 14261
Madison, WI 53714-0261
USA

To order by phone, call us at (608) 249-5418.
To order by Fax call (608) 249-5418
To order by E-Mail, send the information below to:  Fantasoft1@aol.com

Registration Code for Exile II                                  
To find out the registration code, select 'Shareware Info' from the title screen of Exile.

Registration Code for Exile II Character Editor                                    
To find out the registration code, select "Registration Info" from the menu.

Without this, we cannot process your order.

Last Name                                                                             First Name                                 

Address                                                                                                              Apt#             

City                                                   State                   Zip                   Country                       

E-Mail Address:                                                             Phone Number:                                     
 
I would like to register:
Exile II: Crystal Souls......................(Make sure you filled in your code above)........NO          YES           $25

The Exile II Character Editor...........(Make sure you filled in your code above)........NO          YES            $10

I would like to order by mail:
The hint booklet to Exile II...........................................................................................NO          YES            $7

*Foreign orders add $3 for disk/hint book postage.
*Total Due = $           

Method of Payment:

[  ]  Cash - Check           [  ] Visa / Mastercard / American Express

___________________________________________________________________
Account Number

Expiration Date

___________________________________________________________________
Name exactly as it appears on the credit card