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  1.           LOADSTAR MARKETPLACE ORDER FORM
  2.       OFFER #:MPLS12--Offer Expires 10/30/93
  3.          1 - 8 0 0 - 8 3 1 - 2 6 9 4
  4.  
  5. Item                 Code     Qty.       Price       Total
  6.  
  7. LOADSTAR T-Shirt
  8.    Size: M          961525   .....       $9.95      .......
  9.          L          961225   .....       $9.95      .......
  10.          XL         961325   .....       $9.95      .......
  11.         XXL         961425   .....       $9.95      .......
  12.  
  13.                                        SUBTOTAL $..........
  14.  
  15. Louisiana residents please add 4% sales tax.    $..........
  16. SHIPPING & HANDLING:
  17. U.S.A.--UPS Second Day Air
  18. $4.50 for unlimited number of items.
  19. INTERNATIONAL: $10.00 per item.
  20.                                  TOTAL DUE=====> $..........
  21.  
  22. CUSTOMER NO.................... (Look just above your name
  23. on the address card of your subscription pack.)
  24.  
  25. Name .......................................................
  26.  
  27. Address ....................................................
  28.  
  29. City .................................. State ..............
  30.  
  31. Zip .................... Country ...........................
  32.  
  33. Mail Code ..................................................
  34.  
  35. Phone (..........)..........................................
  36.  
  37. PAYMENT METHOD
  38.  ......... Payment enclosed. (Make check or money order
  39. payable
  40.            to Softdisk Publishing.  If outside the U.S.
  41.            print "IN U.S. FUNDS" on your check.)
  42.  .......... Visa/MC  .......... Discover  ..........Am Exp.
  43.  
  44. Account #..................................................
  45. Exp. Date .................................................
  46.  
  47. Signature .................................................
  48. Allow 7-10 days for delivery. International allow 4 to 6
  49. weeks.)
  50.  
  51.                        Mail to:
  52.                  SOFTDISK PUBLISHING
  53.        PO BOX 30008, SHREVEPORT, LA 71130-0008
  54.            1-800-831-2694 or 318-221-8718
  55.                                                             
  56.