home *** CD-ROM | disk | FTP | other *** search
/ Monster Media 1993 #2 / Image.iso / games2 / penta.zip / ORDER.FRM < prev    next >
Text File  |  1993-05-24  |  5KB  |  61 lines

  1.   ----------------------------------------------------------------------------
  2.  |   |                   EasyPlay Software Order Form                     |   |
  3.  | O |                                                                    | O |
  4.  |   |                                                                    |   |
  5.  | O |       Name          ________________________________________       | O |
  6.  |   |                                                                    |   |
  7.  | O |       Address       ________________________________________       | O |
  8.  |   |                                                                    |   |
  9.  | O |       City/St/Zip   ________________________________________       | O |
  10.  |   |                                                                    |   |
  11.  | O |   QTY    PROGRAMS AVAILABLE                  REGIST.COST   TOTAL   | O |
  12.  |   |  =====  ===================================  ===========  =======  |   |
  13.  | O |              Simon Says  (requires EGA)                            | O |
  14.  |   |             ────────────                                           |   |
  15.  | O |  [   ]   Simon Says II (6-pattern version)       9.00              | O |
  16.  |   |  [   ]   Simon Says III (9-pattern version +)    9.00              |   |
  17.  | O |  [   ] ^ Simon Says I, II & III                 15.00              | O |
  18.  |   |                                                                    |   |
  19.  | O |              Easy-Play Blackjack                                   | O |
  20.  |   |             ─────────────────────                                  |   |
  21.  | O |  [   ]   Update with more voice support         10.00              | O |
  22.  |   |  [   ]   2-Player vs. Computer update           15.00              |   |
  23.  | O |  [   ] ^ 3-Player vs. Computer update           18.00              | O |
  24.  |   |                                                                    |   |
  25.  | O |              Easy-Play Yaht-Z                                      | O |
  26.  |   |             ──────────────────                                     |   |
  27.  | O |  [   ]   Update w/ mouse support, hi-scores      4.00              | O |
  28.  |   |  [   ]   6-Player update, includes above         6.00              |   |
  29.  | O |  [   ] ^ 6-Player, incl. Computer & above        8.00              | O |
  30.  |   |                                                                    |   |
  31.  | O |              Easy-Play Pentá  (requires EGA)                       | O |
  32.  |   |             ─────────────────                                      |   |
  33.  | O |  [   ] ^ 8-Player upgrade, more game saves      20.00              | O |
  34.  |   |                                                                    |   |
  35.  | O |  [   ]   EasyPlay Software Bundle Package:      50.00              | O |
  36.  |   |           includes programs above marked(^)                        |   |
  37.  | O |           Simon Says(3),Bjack,Yaht-Z,Pentá   (save $11)            | O |
  38.  |   |  =====  ===================================  ===========  =======  |   |
  39.  | O |                                               Subtotal             | O |
  40.  |   |  low density disk size     If Bundle Package, s/h 5.00             |   |
  41.  | O |  [  ] 5.25"  [  ] 3.5"        else add appropriate s/h             | O |
  42.  |   |                                                  Total $           |   |
  43.  | O |        shipping/handling chart                            =======  | O |
  44.  |   |       qty   1-2 pgms.  3 or more                                   |   |
  45.  | O |    size --|---------------------                                   | O |
  46.  |   |    5.25   |   2.00       3.00      Canadian - add 2.00 to s/h      |   |
  47.  | O |     3.5   |   3.00       5.00      Overseas - add 4.00 to s/h      | O |
  48.  |   |                                                                    |   |
  49.  | O |   What sources did you get EasyPlay shareware releases from ?      | O |
  50.  |   |                                                                    |   |
  51.  | O |    _________________________________________________________       | O |
  52.  |   |                                                                    |   |
  53.  | O |   * U.S. Dollars, Checks, or Money Orders only please.             | O |
  54.  |   |   * Please make check or money order payable to Todd A Johnson     |   |
  55.  | O |                                                                    | O |
  56.  |   |   Mail to:   EasyPlay Software              All orders usually     |   |
  57.  | O |              P.O. Box 822401                shipped within two     | O |
  58.  |   |              Dallas, TX  75382-2401         days after received    |   |
  59.  | O |                                                                    | O |
  60.   ---------------------------------------------------------------------------- 
  61.