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/ Software USA 5 #5 / Software USA Volume 5.05.iso / mac / Children / Bugs Bannis / Fantasoft.sea / Rain Net 1.1 / Rain Net Order Form < prev    next >
Text File  |  1998-02-16  |  2KB  |  36 lines
  1. Rain Net Registration / Order Form
  2.  
  3. Mail this completed form with payment of $20 to:
  4.  
  5. Fantasoft, LLC
  6. P.O. Box 14261
  7. Madison, WI 53714-0261
  8. USA
  9.  
  10. To order by phone, call us at (608) 222-8468.
  11. To order by Fax call (608) 222-8468
  12. To order by E-Mail, send the information below to:  Fantasoft1@aol.com
  13. Visit our website at:  http://www.fantasoft.com
  14.  
  15. Last Name                                                                             First Name                                 
  16.  
  17. Address                                                                                                              Apt#             
  18.  
  19.                                                                                                                                                 
  20.  
  21. City                                                   State                   Zip                   Country                       
  22.  
  23. E-Mail Address:                                                           Phone:                                                   
  24.  
  25.  
  26. I would like to register:
  27. Rain Net..................................................................................................................................YES        $20 US
  28.  
  29. Method of Payment:        [  ]  Cash - Check - Money Order
  30.                                                                    [  ] Visa / Mastercard / American Express / Discover
  31.  
  32. ___________________________________________________________________
  33. Account Number                                                                                                                                                Expiration Date
  34.  
  35. ___________________________________________________________________
  36.