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Text File  |  1993-01-01  |  1KB  |  40 lines

  1.                        Ken's Labyrinth Order Form
  2.  
  3.         
  4. Name    _____________________________________________________
  5.  
  6. Address _____________________________________________________
  7.  
  8. City    ________________________ State _______ ZIP __________
  9.  
  10. Country _____________________________________________________
  11.  
  12. Disk size (Check one):   
  13.            
  14.          (__) 5 1/4" high density
  15.          
  16.          (__) 3 1/2" high density
  17.          
  18. Package Selection:               
  19.  
  20.        (__) Game Pack One -------------------------- $15.00
  21.        
  22.        (__) Game Pack Two -------------------------- $15.00
  23.  
  24.        (__) Game Pack One and Game Pack Two -------- $25.00
  25.  
  26.        (__) Developer's Toolkit -------------------- $35.00
  27.  
  28.  
  29.                                           Total:   $____.__ 
  30.  
  31. Please send cash, check, or money order made out to:
  32.      
  33.                      Ken Silverman
  34.  
  35.                  
  36.        Mail to:  Advanced Systems
  37.                  50 Cindyann Drive
  38.                  East Greenwich, RI  02818
  39.                  Attn: Ken Silverman
  40.