Exile Registration / Order Form

Mail this completed form with payment to:

                     Fantasoft, LLC

                     P.O. Box 14261
Call us at:  (608) 249-5418
to order by phone           Madison, WI 53714-0261
Fax this form to us at:  (608) 249-5418               

    USA

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

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

Last Name                                                                             First Name                                           

Address                                                                                                                         Apt#             

City                                            State                 Zip/Post Code                     Country                       

Phone Number:                                       E-Mail Address:                                                                 

I would like to register:
Exile: Escape From The Pit..........(Make sure you filled in your code above).......NO          YES           $25

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

I would like to order by mail:
The hint booklet for Exile.................................................................................NO          YES            $6.50

*Foreign orders add $3 for postage and handling.       

*Total Due = $