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Text File  |  1994-03-28  |  2KB  |  25 lines

  1. NAME OF PERSON TO BE PUT INTO GAME_______________________PLEASE PRINT CLEARLY
  2. NAME      _______________________________________________(UP TO 12 CHARACTERS)
  3. ADDRESS   ______________________________________________________________
  4. CITY      _______________________________STATE______________ZIP_________
  5.  
  6.  NOTE: BY ORDERING YOU AGREE TO ALL STIPULATIONS SET FORTH IN READ.1ST FILE!
  7.                   
  8. []   REPTALIA                  $19.00.....        ________ (Personalized)
  9. []   TIME AFTER TIME           $19.00.....        ________ (Personalized)
  10. []   BOTH GAMES                $29.00.....        ________ (Personalized)
  11. []   Register REPTALIA         $10.00.....        ________ (Generic character)
  12. []   Register TIME AFTER TIME  $10.00.....        ________ (Generic character)
  13. []   Register both games       $18.00.....        ________ (Generic Character)
  14.                INCLUDE $4.00 SHIPPING & HANDLING  ________
  15.         Massachusetts residents add 5% sales tax  ________                                 
  16.                                                   ________  TOTAL AMOUNT
  17.  
  18. MAKE CHECK OR M.O. PAYABLE TO:    ANTARES BROTHERS      [] CHECK HERE TO BE 
  19. SEND PHOTO AND/OR PAYMENT TO      P.O.Box 337           on our mailing list
  20. THIS ADDRESS  ->                  HADLEY MA 01035       for future games.
  21. PLEASE NOTE: Photo quality directly affects quality of graphics in the game.                               
  22.               
  23.  
  24. FOR ORDERS OUTSIDE U.S.A. ADD $10.00 SHIPPING & HANDLING PAYABLE BY MONEY ORDER ONLY!
  25.