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1995-03-13
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36 lines
/ \
/ \ SUMMIT Software
// \ 14567 Woodbine Ave Tel: (905) 727-6964
/ \ Gormley, Ontario Fax: (905) 727-4036
SUMMIT Canada L0H 1G0
Software
============================================================================
Please place a check mark in the [ ] boxes below, and add up the total.
[ ] The Jelly Bean Factory: Addicting hi-res VGA 256-color
action puzzle game w/digital music & effects.....($20) __________
[ ] Crates: CGA/EGA Challenging puzzle game..........($13) __________
(Prices include mailing & applicable taxes)
Total __________
IMPORTANT! [ ] 3.5" Disk [ ] 5.25" Disk
Name: _______________________________________________
Address: _______________________________________________
City: ________________________ State/Prov:_____ Country:_____________
Zip/Post.Code: ____________________ Phone: ( )____________
PAYMENT BY: [ ] Visa [ ] Cheque [ ] Money order
Card # ____________________ Exp. Date: __/__ Signature: __________________