------------------------------[ ORDER FORM ]---------------------------------- Able Solutions Phone: 07-3285 7353 (Intl 61-7-3285 7353) PO Box 186 Petrie Fax: 07-3889 0112 (Intl 61-7-3889 0112) QLD 4502 Australia Mobile: 015-520 166 Email able@cynergy.com.au ------------------------------------------------------------------------------ Gamepad Pro! 95 (SNES Edition) [ ] Gamepad Pro! 95 Value Pack.................................($25) __________ - includes Two player cable, - registered software, - Unlimited Upgrades via the NET [ ] Two Player Adapter Cable...................................($15) __________ [ ] Gamepad Pro! 95 Registered Software........................($15) __________ [ ] Multitap 4 Player converter (requires two player adapter)..($30) __________ [ ] Other: _________________________________________________________ __________ [ ] Other: _________________________________________________________ __________ Shipping & Handling (International add $2 extra).................... __$3.00___ Total enclosed __________ Disk size: [ ] 3.5" 1.44M [ ] 3.5" 720k [ ] 5.25" 1.2M [ ] 5.25" 360k Name: _______________________________________________________________ Address: _______________________________________________________________ City, State: ___________________________________________ Post Code:_________ Country: ____________________ Phone: __________________________________ Payment by: [ ] Cheque [ ] Money order [ ] MasterCard [ ] Visa [ ] Amex [ ] Bankcard (Australia only) Card # _______________________ Exp Date: _______ Signature: ________________ Where did you get this software? _____________________________________ Important! Credit card orders must include the card's "expiration date" or "expiry date". Cheques must be in Australian dollars drawn on an Australian Bank. If this is a problem, please obtain a "postal money order" from your local post office.