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Text File  |  1995-12-31  |  2KB  |  50 lines
  1. Exile II   Registration / Order Form
  2.  
  3. Mail this completed form with payment to:
  4.  
  5. Mail this completed form with payment to:
  6.  
  7. Fantasoft, LLC
  8. P.O. Box 14261
  9. Madison, WI 53714-0261
  10. USA
  11.  
  12. To order by phone, call us at (608) 249-5418.
  13. To order by Fax call (608) 249-5418
  14. To order by E-Mail, send the information below to:  Fantasoft1@aol.com
  15.  
  16. Registration Code for Exile II                                  
  17. To find out the registration code, select 'Shareware Info' from the title screen of Exile.
  18.  
  19. Registration Code for Exile II Character Editor                                    
  20. To find out the registration code, select "Registration Info" from the menu.
  21.  
  22. Without this, we cannot process your order.
  23.  
  24. Last Name                                                                             First Name                                 
  25.  
  26. Address                                                                                                              Apt#             
  27.  
  28.                                                                                                                                                 
  29.  
  30. City                                                   State                   Zip                   Country                       
  31.  
  32. E-Mail Address:                                                             Phone Number:                                     
  33.  
  34. I would like to register:
  35. Exile II: Crystal Souls......................(Make sure you filled in your code above)........NO          YES           $25
  36.  
  37. The Exile II Character Editor...........(Make sure you filled in your code above)........NO          YES            $10
  38.  
  39. I would like to order by mail:
  40. The hint booklet to Exile II...........................................................................................NO          YES            $7
  41.  
  42. *Foreign orders add $3 for disk/hint book postage.    *Total Due = $           
  43.  
  44. Method of Payment:        [  ]  Cash - Check           [  ] Visa / Mastercard / American Express
  45.  
  46. ___________________________________________________________________
  47. Account Number                                                                                                                                                Expiration Date
  48.  
  49. ___________________________________________________________________
  50. Name exactly as it appears on the credit card