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Komputer for Alle 1999 Ekstra 101 Spil
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K-CD_1999_Ekstra_101_Spil.iso
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Arcade
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Monsters
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ORDER.DOC
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1999-02-20
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4KB
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51 lines
:-----------------------------------------------------------------------------:
: LOCATHA INDUSTRIES :
: :
: P R O D U C T R E G I S T R A T I O N F O R M :
: :
:VOICE:(904)772-0540 INTERNET: www.locatha.com EMAIL: support@locatha.com :
:-----------------------------------------------------------------------------:
: Name :_____________________________ : Country :__________________________ :
: Address:_____________________________ : Sound Card: Yes No :
: _____________________________ : CPU Speed: 386 486 586 686 P II :
: City :_____________________________ : CPU MHZ: 66 100+ 166+ 200+ 300+ : :
: Age :_____ State/Province : ____ : CD-ROM DRIVE: Yes No RAM: ______ :
: Zipcode:______ - ____ (United States) : Primary Operating System: :
: _ _ _ - _ _ _ (Canadian Zip) : Win95 Win98 WinNT OS/2 DOS UNIX:
: Voice Phone Number : (___) ___ - ____ : Internet E-Mail Address: :
: Data Phone Number : (___) ___ - ____ : ___________________________________ :
:-----------------------------------------------------------------------------:
: PRODUCTS I WISH TO REGISTER :
: :
: Monsters & Mayhem $19.95 [ ] Yes TOAG $ 9.95 [ ] Yes :
: Othello F/X $ 9.95 [ ] Yes WebRider $ 9.95 [ ] Yes :
: Joust $ 9.95 [ ] Yes :
: :
:-----------------------------------------------------------------------------:
: Total Amount Of Money Enclosed In This Order (USA funds) .....: $ ____.___ :
: Please Add $4.00 Postage & Handling, Foreign Order Add $7.50 : $ ____.___ :
: Florida Residents add 6.50% Sales Tax......: $ ____.___ :
:-----------------------------------------------------------------------------:
: CREDIT CARD INFORMATION: Name On Card :_________________________________ :
: Type : MASTER CARD VISA Expiration: ___/___ :
: Signature : ___________________________________ :
: :
: Card Number: __________________________________ :
:-----------------------------------------------------------------------------:
: DELIVERY METHOD: Send my .KEY files via POSTAL US MAIL [ ] Yes! :
: Send my .KEY files via INTERNET E-MAIL * [ ] Yes! :
: :
: * Keys sent online will use ZIP encryption & password. PASSWORD: _________ :
:-----------------------------------------------------------------------------:
: ORDER NOW USING OUR TOLL FREE ORDER LINE AT 1-888-353-7297 :
: :
: Refer To Product ID When Ordering: :
: Monsters & Mayhem ID: 1733-1 Joust ID: 1733-4 :
: Toag ID: 1733-2 Web Rider ID: 1733-5 :
: Othello F/X ID: 1733-3 :
: :
: Send this form, with USA Funds, LOCATHA INDUSTRIES :
: Check, Money Order or MC/VISA P.O. BOX 50038 :
: Information To: Jacksonville Beach, FL, 32240 :
:-----------------------------------------------------------------------------: