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Text File  |  1994-02-13  |  4KB  |  59 lines
  1. +--------------------------------------------------------------------------+
  2. |          T r a d e   W a r s   2 0 0 2   O r d e r   F o r m             |
  3. |                                                                          |
  4. |                                                                          |
  5. |      Complete the blanks and mail to the author's address below.         |
  6. |                                                                          |
  7. |                                                                          |
  8. |      Real Name ___________________________________________________       |
  9. |                                                                          |
  10. |                                                                          |
  11. |      Street Address ______________________________________________       |
  12. |                                                                          |
  13. |                                                                          |
  14. |      City, State & ZIP ___________________________________________       |
  15. |                                                                          |
  16. |                                                                          |
  17. |      Voice or Home Phone (_____)__________________                       |
  18. |                                                                          |
  19. |                                                                          |
  20. |      BBS or Data Phone   (_____)__________________                       |
  21. |                                                                          |
  22. |                                                                          |
  23. |      BBS Name ____________________________________________________       |
  24. |      (Registration will be keyed to this)                                |
  25. |                                                                          |
  26. |                                                                          |
  27. |      BBS Sysop Name ______________________________________________       |
  28. |      (will also appear in the game)                                      |
  29. |                                                                          |
  30. |         -=-=-=-=-=-   Registration Cost for TW2002  -=-=-=-=-=-=-        |
  31. |      Inside the U.S.A.                           Outside the U.S.A.      |
  32. |            $20.00                              $20.00 US FUNDS ONLY!     |
  33. |                                                                          |
  34. |           (If you live in Kansas you must add $1.18 sales tax!)          |
  35. |         -=-=-=-=- All funds must be drawn on US Banks!! -=-=-=-=-        |
  36. |      Print and mail this form with check or money order only to:         |
  37. |                                                                          |
  38. |      Martech Software, Inc.                                              |
  39. |      134 Indian Avenue                                                   |
  40. |      Lawrence, Kansas  66046                                             |
  41. |                                                                          |
  42. |      Please allow 3-4 weeks for delivery.                                |
  43. |                                                                          |
  44. |      ** VISA, MasterCard and American Express Accepted!**  Send this     |
  45. |      form with the information below to  the address  shown above or     |
  46. |      send it to our FAX number at (913) 842-7818                         |
  47. |                                                                          |
  48. |                                                                          |
  49. |      Card Number _________________________________________________       |
  50. |                                                                          |
  51. |      VISA ___  MasterCard ___ AmExp ___  Expire Date _____________       |
  52. |                                                                          |
  53. |      Name (as it appears on the card)_____________________________       |
  54. |                                                                          |
  55. |      Signature ___________________________________________________       |
  56. |2.00 (Wide Beta 5)                                                        |
  57. +--------------------------------------------------------------------------+
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