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Text File  |  1998-07-10  |  7KB  |  122 lines
  1. ===============================[ ORDER FORM ]=================================
  2. LOMAX Software                           questions or comments :
  3. Kettelerstr.27                           +49 (0) 5973 / 5724
  4. 48485 Neuenkirchen                       Lomaxsoft@aol.com
  5. Germany                                  100625.1745@compuserve.com
  6.                                          http://www.lomaxsoft.simplenet.com/
  7. ==============================================================================
  8.  
  9.  
  10. 1.  Please mark the games you want to register and be sure to fill in all
  11.     required information.
  12.  
  13.   ---------------------------------------------------------------------------
  14.   | TITLE                                               | QNT | US$ | Total |
  15.   ---------------------------------------------------------------------------
  16.   | Lovely Girls (Windows)                              |     |14.95|       |
  17.   ---------------------------------------------------------------------------
  18.   | Cybersphere Plus                                    |     |17.95|       |
  19.   ---------------------------------------------------------------------------
  20.   | Diamco (Windows)                                    |     |14.95|       |
  21.   ---------------------------------------------------------------------------
  22.   | Terroid                                             |     |29.95|       |
  23.   ---------------------------------------------------------------------------
  24.   | Farocar (Windows)                                   |     |19.95|       |
  25.   ---------------------------------------------------------------------------
  26.   | Lomax ColTris                                       |     |24.95|       |
  27.   ---------------------------------------------------------------------------
  28.   | Lomax Boulders                                      |     |29.95|       |
  29.   ---------------------------------------------------------------------------
  30.   | Lomax Boulders II - Sea of Diamonds                 |     |29.95|       |
  31.   ---------------------------------------------------------------------------
  32.   | StoneBreaker                                        |     |24.95|       |
  33.   ---------------------------------------------------------------------------
  34.   | Hidden Fields                                       |     |29.95|       |
  35.   ---------------------------------------------------------------------------
  36.   | Magics                                              |     |14.00|       |
  37.   ---------------------------------------------------------------------------
  38.   | Lovely Girls      (SHAREWAREVERSION)                |     | 4.00|       |
  39.   ---------------------------------------------------------------------------
  40.   | Cybersphere Plus  (SHAREWAREVERSION)                |     | 4.00|       |
  41.   ---------------------------------------------------------------------------
  42.   | DIAMCO            (SHAREWAREVERSION)                |     | 4.00|       |
  43.   ---------------------------------------------------------------------------
  44.   | Terroid           (SHAREWAREVERSION)                |     | 4.00|       |
  45.   ---------------------------------------------------------------------------
  46.   | FAROCAR           (SHAREWAREVERSION)                |     | 4.00|       |
  47.   ---------------------------------------------------------------------------
  48.   | Lomax ColTris     (SHAREWAREVERSION)                |     | 4.00|       |
  49.   ---------------------------------------------------------------------------
  50.   | Lomax Boulders    (SHAREWAREVERSION)                |     | 4.00|       |
  51.   ---------------------------------------------------------------------------
  52.   | Lomax Boulders II (SHAREWAREVERSION)                |     | 4.00|       |
  53.   ---------------------------------------------------------------------------
  54.   | StoneBreaker      (SHAREWAREVERSION)                |     | 4.00|       |
  55.   ---------------------------------------------------------------------------
  56.   | Hidden Fields     (SHAREWAREVERSION)                |     | 4.00|       |
  57.   ---------------------------------------------------------------------------
  58.   | Magics            (SHAREWAREVERSION)                |     | 4.00|       |
  59.   ---------------------------------------------------------------------------
  60.   | Shipping and Handling                               |  1  | 4.00|  4.00 |
  61.   ---------------------------------------------------------------------------
  62.   | If ordering from outside Europe add extra           |     | 2.00|       |
  63.   ---------------------------------------------------------------------------
  64.   | Foreign Bank Transaction Fee (if you send no US$) 1*|     | 2.00|       |
  65.   ---------------------------------------------------------------------------
  66.                                                         |   Total:  |       |
  67.                                                         ---------------------
  68.  
  69. 1* Only choose this if you send another currency than US dollars. You can
  70.    also send us the equivalent total of money in your country's currency,
  71.    but then you must choose this and pay 2.00 dollars extra.
  72.  
  73.  
  74.  
  75. 2. Please take the time to tell us how you got your shareware copy of 
  76.    Lovely Girls:
  77.  
  78. [ ] America Online 
  79. [ ] CompuServe (Name of forum): ____________________________________________
  80. [ ] Friend
  81. [ ] PsL
  82. [ ] Local BBS (Name & #): __________________________________________________
  83. [ ] Catalog (Name): ________________________________________________________
  84. [ ] CD (Name): _____________________________________________________________
  85. [ ] Other (Please specify): ________________________________________________
  86.  
  87. 3. Is this your first order with LOMAX Software:  
  88.   
  89. [ ] Yes                  [ ] No
  90.  
  91. 4. Please choose disk size:  
  92.  
  93. [ ]   5 1/4   1.2MB      [ ]   3 1/2   1.4MB
  94.  
  95. 5. Please choose payment type:      
  96.  
  97. [ ] Check                [ ] Money Order
  98.  
  99. 6. Please ship my order to:
  100.  
  101.        First Name: _________________________________________
  102.         
  103.         Last Name: _________________________________________
  104.         
  105.           Address: _________________________________________
  106.         
  107.              City: _________________________________________
  108.         
  109.   Zip/Postal Code: _________________________________________
  110.    
  111.             State: _________________________________________
  112.         
  113.           Country: _________________________________________
  114.         
  115.           Phone #: (___________)____________________________
  116.  
  117.  
  118.         Signature: _________________________________________
  119.  
  120. ALL ORDERS SHIPPED WITHIN 48 HOURS.
  121. THANKS FOR ORDERING.
  122.