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  1.  
  2.         Touchdown Trivia version 1.01d VGA -- Order Form
  3.  
  4.  
  5.  
  6.     Name:___________________________________
  7.     Address:__________________________________________________
  8.     City:______________________State:__________Zip:___________
  9.     Country:____________________
  10.     Phone:______________________
  11.  
  12.     quantity                               cost
  13.      _____   Touchdown Trivia Registration          $16.00     ________
  14.      _____   Touchdown Trivia 'Shareware' Disk          $ 4.00     ________
  15.  
  16.      _____   POSTAGE & Handling: USA-$3, CANADA-$5, OVERSEAS-$7  ________
  17.                              total:  ________
  18.  
  19.  
  20.            Circle Disk Format Desired    5.25    3.5
  21.            (if none is specified, 5.25 will be sent)
  22.  
  23.            Payment Check___    Money Order___
  24.            Sorry, no CODs, VISAs, MasterCards, or AE
  25.  
  26.  
  27. Send Order and Make Check or Money Order Payable To:
  28.  
  29.                  Michael C. Lee
  30.                  P.O. Box 1263
  31.                  Talent, OR  97540
  32.                  USA
  33.  
  34.  
  35.  
  36. OPTIONAL INFORMATION
  37.  
  38. o  Where did you first find out about our product?_____________________
  39. _______________________________________________________________________
  40. If you got the program from a friend, please name:_____________________
  41. If you downloaded the program, please name BBS:________________________
  42. If you got the program from a distributor, please name:________________
  43.  
  44. o  What other sports would you like to see similar games in?___________
  45.  
  46. o  Comments about product:_____________________________________________
  47. _______________________________________________________________________
  48. _______________________________________________________________________
  49. _______________________________________________________________________
  50.  
  51. o  If you uploaded the program to any BBSs, please list (include phone
  52. number and protocol):__________________________________________________
  53. _______________________________________________________________________
  54.