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Text File  |  1998-06-25  |  3KB  |  58 lines
  1. Realmz Registration / Order Form
  2.  
  3. Mail this completed form with payment to:
  4.  
  5. Fantasoft, LLC
  6. P.O. Box 14261
  7. Madison, WI 53714-0261
  8. USA
  9.  
  10. To order by phone, call us at (608) 222-8468.
  11. To order by Fax call (608) 222-8468
  12. To order by E-Mail, send the information below to:  Fantasoft1@aol.com
  13. Visit our website at:  http://www.fantasoft.com
  14.  
  15. SERIAL NUMBER OF YOUR COPY OF REALMZ                                          Version                 
  16. To find the serial number and version of your copy, select "About Realmz" under the Apple menu.  The serial number and version will be displayed to the right of the yellow spider.
  17.  
  18. Last Name                                                                             First Name                                 
  19.  
  20. Address                                                                                                              Apt#             
  21.  
  22.                                                                                                                                                 
  23.  
  24. City                                                   State                   Zip                   Country                       
  25.  
  26. E-Mail Address:                                                           Phone:                                                   
  27.  
  28. I am already registered for Realmz:
  29. "Divinity" Includes full version of Character Editor......Yes____$45
  30.  
  31. I am NOT a registered user of Realmz:
  32. "Divinity" Includes full version of Character Editor......Yes____$65
  33.  
  34.  
  35. I would loke to register extra scenarios:
  36. "Assault On Giant Mountain" scenario.............................Yes____$13
  37. "Prelude To Pestilence" scenario.................................Yes____$13
  38. "Castle In The Clouds" scenario..................................Yes____$13
  39. "Destroy The Necronomicon" scenario..............................Yes____$13
  40. "White Dragon" scenario..........................................Yes____$13
  41. "Griloch's Revenge" scenario.....................................Yes____$13
  42. ________________________________________________________________
  43.  
  44. "Realmz Character Editor..........(Included With Divinity: A $10 value)
  45.  
  46. *Non US or Canadian orders add $3 postage and handling
  47.  
  48.                                                                                                                                                                                      *Total Due = $           
  49.  
  50.  
  51. Method of Payment:        [  ]  Cash - Check - Money Order
  52.                                                                    [  ] Visa / Mastercard / American Express / Discover
  53.  
  54. ___________________________________________________________________
  55. Account Number                                                                                                                                                Expiration Date
  56.  
  57. ___________________________________________________________________
  58. Name exactly as it appears on the credit card