home *** CD-ROM | disk | FTP | other *** search
/ 1,000 Best Games for Windows / 1000BestGamesForWindows.iso / sharewarefin / ILUSON11.ZIP / ORDERFRM.TXT < prev    next >
Text File  |  1995-04-03  |  961b  |  47 lines
  1.                          Order Form
  2.                               
  3.  
  4. Name________________________________________________________
  5.  
  6. Address_____________________________________________________
  7.  
  8. City____________________________  State_______
  9.  
  10. Zip_____________
  11.  
  12.  
  13. For Visa or Mastercard:
  14.  
  15. Amount $________________________
  16.  
  17.  
  18. Card
  19. Number________________________________________Exp.Date_____
  20.  
  21.  
  22. Signature_________________________________________________
  23.  
  24.  
  25. Go Learn It!  $19.95        Almost Everything    $29.95
  26.  
  27. Smiles   $19.95                 Illusions         $12.00
  28.  
  29. Shipping and Postage  $1.75
  30.  
  31.  
  32.                Send to:
  33.  
  34.                    Cragmont Services Ltd.
  35.                    1171 Cragmont Ave.
  36.                         Berkeley,  CA   94708
  37.  
  38.  
  39.  
  40. Comments:___________________________________________________
  41.  
  42. ____________________________________________________________
  43.  
  44. ____________________________________________________________
  45.  
  46.  
  47.