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Text File  |  1995-03-27  |  2KB  |  50 lines

  1. Exile Registration / Order Form
  2.  
  3. Mail this completed form with payment to:                Fantasoft, LLC
  4.                                                                                                                                                                                                                                                                                                                                                 P.O. Box 1844
  5.                                                                                                                                                                                                                                                                                                                   Waukesha, WI 53187-1844
  6. OR Fax it to us at:  (414) 963-4429                                                                                                    USA
  7.  
  8. OR  e-mail it to us at:    74163.45@Compuserve.com
  9.  
  10.  
  11. Registration Code for Exile                                   
  12. To find out the registration code, select 'Shareware Info' from the title screen of Exile.
  13.  
  14. Registration Code for Exile Character Editor                                    
  15. To find out the registration code, select "Registration Info" from the menu.
  16.  
  17. Without this, we cannot process your order.
  18.  
  19. Last Name                                                                             First Name                                            
  20.  
  21. Address                                                                                                                         Apt#             
  22.  
  23. City                                                   State                   Zip                      Country                              
  24.  
  25. E-Mail Address:                                                                                                                                 
  26.  
  27.  
  28. I would like to register:
  29. Exile: Escape From The Pit..........(Make sure you filled in your code above).......NO          YES           ($25)
  30.  
  31. The Exile Character Editor...........(Make sure you filled in your code above)........NO          YES            ($10)
  32.  
  33. I would like to order by mail:
  34. The hint booklet to Exile..................................................................................NO          YES            ($6.50)
  35.  
  36.                                                                                                                                                                                                                             Total Due = $           
  37.  
  38.                                                                                                                                         *Foreign orders add $2 for additional postage.
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  40. ツ 
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