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Rain Net Order Form
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1998-02-16
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Rain Net Registration / Order Form
Mail this completed form with payment of $20 to:
Fantasoft, LLC
P.O. Box 14261
Madison, WI 53714-0261
USA
To order by phone, call us at (608) 222-8468.
To order by Fax call (608) 222-8468
To order by E-Mail, send the information below to: Fantasoft1@aol.com
Visit our website at: http://www.fantasoft.com
Last Name First Name
Address Apt#
City State Zip Country
E-Mail Address: Phone:
I would like to register:
Rain Net..................................................................................................................................YES $20 US
Method of Payment: [ ] Cash - Check - Money Order
[ ] Visa / Mastercard / American Express / Discover
___________________________________________________________________
Account Number Expiration Date
___________________________________________________________________