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Text File  |  1997-06-26  |  1KB  |  50 lines

  1. Ultima III v1.3 - Order Form
  2.  
  3. You can send this order form via fax, e-mail or U.S. mail.
  4. Or, order directly on the Web at http://www.playmaker.com/
  5.  
  6. TO:
  7.  
  8. PlayMaker, Inc.
  9. 1412 Milford Chase Court
  10. Marietta, GA 30060
  11. Internet: orders@playmaker.com
  12. Fax: 770/384-0728
  13.  
  14. FROM: 
  15.  
  16. E-Mail Address/Screen Name:                                                
  17.  
  18.  
  19. Name:                                                                      
  20.  
  21. Street:                                                                    
  22.  
  23. Suite/Apt. #:                                                              
  24.  
  25. City/Province:                                                             
  26.                                                                         
  27. State:                                Zip/Postal Code:                     
  28.  
  29. Country:                                                                   
  30.  
  31. Telephone #:                                                               
  32.  
  33. Fax #:                                                                        
  34.  
  35.  
  36. Name on the Credit Card:                                                   
  37.  
  38. Visa, M/C or AMEX #:                                                                     
  39.  
  40. Exp Date:                                                                    
  41.        
  42.  
  43. Where Installer Was Found:                                                 
  44.                                (e.g., Macintosh Bundle, America Online, BBS)
  45.  
  46.  
  47. FOR:
  48.  
  49. Ultima III
  50. $25.00 U.S.