To order by mail or fax, print out this form, and fill out all the information requested. You may order by credit card by faxing this form to (408) 984-1764. Or mail it along with a check to:
Electron Hut
59 Washington St #223
Santa Clara, CA 95050
| Description | Quantity | $ each | Total |
|---|---|---|---|
| Klondike Solitaire for PalmOS | $12.00 | ||
| FreeCell Solitaire for PalmOS | $12.00 | ||
| Sokoban for PalmOS | $12.00 | ||
| Vegas Slots for PalmOS | $12.00 | ||
| Vegas Video Poker for PalmOS | $12.00 | ||
| Total: | |||
**** PLEASE PRINT CLEARLY ***** PLEASE PRINT CLEARLY ***
If we cannot read your handwriting, we will not process your order.
Email address: ___________________________________
Palm Username: ________________________________
If you don't know your Palm username, run any of our games, and from the opening screen, click the 'Unlock' button. Your username will be displayed. Please double check that you have written it correctly on this form or the serial number we send you will not work.
Payment method:
( ) Check enclosed. NOTE: Checks MUST be US funds, drawn on a US bank.
( ) Credit card (Visa, MasterCard, American Express)
Number: ________________________ Expiration Date: ________________________ Name on Card: ________________________ Signature: ________________________ Billing address: (required for credit card orders) Address: ________________________ ________________________ City: ________________________ State: ________________________ Zip: ________________________ (optional) Phone: ________________________