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Text File  |  1996-07-22  |  2KB  |  54 lines
  1.  ¬†
  2.  
  3. Why wait? To order, just call our toll free number & we'll process your order within 24 hours.
  4.  
  5.  800-769-2768 
  6.  
  7. To order by FAX, just print out this form and fax it to us at 512-419-7288
  8. To order by E-Mail, Use the "SAVE ORDER FORM" button on this screen and send the 
  9. completed text file to one of our E-Mail Addresses listed in this catalog.
  10. To order by MAIL, Use the "PRINT" button on this screen and send the form with your payment to:
  11.  Attn: Special Offer Catalog ‚Ä¢ Changeling, Inc.
  12. 2507 Albata Avenue ‚Ä¢ Austin, TX 78757-2102
  13. Please print carefully
  14.  
  15. NAME: __________________________________________________¬† 
  16. ADDRESS: _________________________________________________
  17. CITY/ STATE/ ZIP: __________________________________________
  18. SHIP TO ADDRESS (if different): ________________________________
  19. CITY/ STATE/ ZIP: __________________________________________
  20. DAYTIME PHONE: ____________________________________________
  21. FAX NUMBER: ______________________________________________
  22.  
  23. QUANTITY         PRODUCT                                 PRICE               TOTAL
  24.  
  25. _______   AMBER                                                $35.00                                _______
  26.  
  27. _______   Blown Away CD-ROM                           $35.00                                _______
  28.  
  29. _______    ARES                                                    $30.00                                _______
  30.  
  31. _______    PegLeg                                        $20.00                                _______
  32.  
  33. _______    Space Madness                             $20.00                                _______
  34.  
  35. _______    PegLeg/Space Madness Bundle       $30.00                                _______
  36.  
  37.                                                                             SubTotal:      _______
  38.  
  39.                                                                             *Shipping:     _______
  40.  
  41.                                Sales Tax (8.25% (TX Residents only)):      _______
  42.  
  43.                                                                       Grand Total: _________
  44.  
  45. TX Residents add 8.25% Sales Tax ‚Ä¢ Orders are shipped 2-day Priority Mail
  46. FedEx is available upon request for additional charge ‚Ä¢ *Shipping is $4.50 ($9.00 Outside the US.)
  47. Payment Method:(Please check one)
  48. _____ Check/Money Order ‚Ä¢ _____ MasterCard ‚Ä¢ _____ Visa
  49.  
  50. Card #(if applicable): _________________________________________    Exp. Date: _____ 
  51.  
  52. Signature: _____________________________________________________
  53. We thank you for you support. ‚Ä¢ If you are located outside the US, call us at 512.419.7085
  54. Prices are subject to change  ‚Ä¢ Special Offer Order Form # 100-03 PCC