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orderfrm.txt
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1995-03-13
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3KB
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58 lines
REGISTRATION / ORDER FORM (Baccarat SW)
04/22/94
============================================================================
Check one..... (Ultimate Baccarat SW-3.3) Check one.....
(Prices shown include $3.00 for shipping and handling, foreign orders
other than CANADA must add an additional $2.00 for postage)
___ Baccarat ------------------------------- ($13.00) Disk type.....
___ Baccarat + Voice pack ------------------ ($18.00)
___ Baccarat + Blackjack ------------------- ($21.00) ___ 720K (3.50 DD)
___ Baccarat + Blackjack + Voice packs ----- ($26.00)
___ Baccarat + Gin ------------------------- ($21.00) ___ 1.44 (3.50 HD)
___ Baccarat + Gin + Voice packs ----------- ($26.00)
___ Baccarat + Blackjack + Gin ------------- ($29.00) ___ 1.20 (5.25 HD)
___ Baccarat + Blackjack + Gin + Voice packs ($34.00)
Software Total $________
Ca. Sales tax @ 7.75% $________ (California only)
Grand Total $________
Send check or money order Your Name:_________________________
to......
ACCIDENTAL SOFTWARE Address:_________________________
13245 SKIOMAH RD.
APPLE VALLEY, CA. 92308 Address:_________________________
Phone Orders (619) 247-2804 City,State,Zip:_________________________
FOREIGN ORDERS: Send International money order (U.S. currency) or check
drawn on a U.S. bank or MasterCard / VISA information.
For your convenience, we accept MasterCard or Visa. You may charge the
amount of your purchase. If you decide to charge, send this sheet to
ACCIDENTAL SOFTWARE with the following information or call 619-247-2804.
Fax is available if you call first to alert us of the incoming FAX.
Check one....
__ VISA or MasterCard number __________________________
|__| VISA
Expiration date ____________________________________
__
|__| MasterCard Card holders name __________________________________
Signature __________________________________________
Phone orders accepted between 8AM and 8PM Pacific Standard Time, Monday
through Friday. (619) 247-2804
Orders are shipped via U.S. mail. (Ultimate Baccarat 3.3)
============================================================================
Shareware Survey: How did this product come to your attention?
___ 1. From a shareware vendor (name) __________________________________.
___ 2. From a BBS (name) _______________________________________________.
___ 3. From a friend.
___ 4. Other (please specify) __________________________________________.
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SUGGESTIONS or GAMES YOU WOULD LIKE TO SEE?