home *** CD-ROM | disk | FTP | other *** search
/ The Best of Select: Games 4 / CD_1.iso / games / jsgo122 / orderfrm.doc < prev    next >
Text File  |  1993-09-16  |  2KB  |  58 lines
  1.               O R D E R   F O R M / Galactic Overlord 1.22
  2.                        PsL Order Number: #10797
  3.  
  4.      To register this product with your credit card please see the file
  5.      CC-ORDER.DOC.  However, it costs less to order by MAIL, see below.
  6.  
  7.      To register this product please print out this order form and send
  8.      it with your check or money order (U.S. dollars, please) to:
  9.  
  10.                        Jibben Software
  11.                        7814 Yates Avenue North
  12.                        Brooklyn Park MN  55443  U.S.A.
  13.  
  14.  
  15.          BBS Name: _________________________________________
  16.  
  17.  BBS Phone Number: _________________________________________
  18.  
  19.              Name: _________________________________________
  20.  
  21.           Address: _________________________________________
  22.  
  23.              City: _________________________________________
  24.  
  25.        State/Prov: __________   Postal Code: _______________
  26.  
  27.           Country: _________________________________________
  28.  
  29.      Phone Number: _________________________________________
  30.  
  31.  
  32.      I would like to register:
  33.  
  34.         Galactic Overlord @ $20 a copy        = ___________
  35.  
  36.         $5 DISCOUNT if you order by MAIL      = ___________
  37.  
  38.         Shipping and Handling add $5          = _____5.00__
  39.  
  40.         If non-U.S. address please add $2     = ___________
  41.  
  42.  
  43.                                       Total: ______________
  44.  
  45.  
  46.      Disk Size:     5.25"[   ]  or  3.5"[   ]
  47.      (IF NO DISK SIZE IS SPECIFIED YOU WILL RECEIVE 5.25"!)
  48.  
  49.      Your CompuServe ID: _________________
  50.      Where did you get Galactic Overlord? ____________________________
  51.  
  52.      Comments:
  53.      _________________________________________________________________
  54.      _________________________________________________________________
  55.      _________________________________________________________________
  56.      _________________________________________________________________
  57.  
  58.