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Text File  |  1999-01-20  |  2KB  |  60 lines
  1.  
  2.                           HALLOWEEN SLOTS REGISTRATION
  3.  
  4.           Name             ______________________________
  5.  
  6.           Company          ______________________________
  7.  
  8.           Address          ______________________________
  9.  
  10.           City/State       ______________________________
  11.  
  12.           Zip/Postal Code  ______________________________
  13.  
  14.           Country          ______________________________
  15.  
  16.           Phone            ______________________________
  17.  
  18.           EMAIL ADDRESS    ______________________________
  19.                            If you include your eMail address, we can
  20.                            send you the immediately.
  21.  
  22.      DISK SIZE:  (  ) 3-1/2"   (  ) CD-ROM
  23.  
  24.      I AM ORDERING:
  25.  
  26.         (  ) HALLOWEEN SLOTS (ú14)
  27.         (  ) CHRISTMAS SLOTS (ú14)
  28.         (  ) NEW YEAR SLOTS (ú14)
  29.     
  30.         (  ) ANY TWO SLOT GAMES (ú21)--Mark Choices Above
  31.         (  ) ALL THREE SLOT GAMES (ú24)
  32.  
  33.  
  34.      POSTAGE & PACKING
  35.      -----------------
  36.      Please add ú3 for postage charges if you would like us to send the software
  37.      to you.  If you already have the software and only require the registration
  38.      code, then there is no additional P&P fee.
  39.  
  40.      Amount Enclosed: $_________
  41.  
  42.      Make your cheque or money order payable to GAMESCAPE STUDIOS.
  43.  
  44.      Mail payment and registration form to:    GAMESCAPE STUDIOS
  45.                                                Egloshayle
  46.                                                Wadebridge
  47.                                                Cornwall
  48.                                                PL27 6AX
  49.                                                UNITED KINGDOM
  50.      Payment Method:
  51.                      ___ Check   ___ Money Order   ___ VISA   ___ MasterCard
  52.  
  53.      Credit Card Number #_____ - _____ - _____ - _____   expiry ____/____
  54.  
  55.      For credit card orders:  Call 01208 816323 (Orders and Information)
  56.                                    01208 816006 (FAX)
  57.  
  58.      Order Online at:      http://www.gamescapestudios.com/order.htm
  59.  
  60.