Star Trek / Diamond Figures Order Form Name: ______________________________________________ Address: ______________________________________________ ______________________________________________ City: ___________________________ State: ___________________________ Zipcode: ___________________________ Phone: ___________________________ Email: ___________________________ How did you obtain the shareware version? (check one) (please specify the name) ____ Internet Site ________________________________ ____ BBS ________________________________ ____ Compuserve ________________________________ ____ Shareware Vendor ________________________________ ____ Shareware Catalog ________________________________ ____ Magazine ________________________________ ____ Friend ________________________________ ____ Other ________________________________ Circle disk size: 5 1/4" - 1.2MB 3 1/2" - 1.44MB 5 1/4" - 360KB 3 1/2" - 720KB Email - no S&H required Circle what type of equipment you have (optional) 286 386 486 586 686 EGA VGA Super VGA Do you have a sound card: yes no AdLib SoundBlaster ThunderBoard ProAudio _______________ Product Name Available Price ________________________________________________________________ Star Trek for Windows 95 05/30/96 $19.95 Star Trek for Windows 06/01/96 $19.95 Star Trek Solar Sys. Dev. Kit --SOON-- $9.95 Ninety-nine 05/30/96 $4.95 Thirty-one --SOON-- $4.95 Twenty-one Not Yet $4.95 Thirteen Not Yet $4.95 Fifteen Not Yet $4.95 Eleven Not Yet $4.95 Twenty-three Not Yet $4.95 ________________________________________________________________ Subtotal $________ IL Residents add Sales Tax $________ S&H $3.95 (unless you choose e-mail shipping) $________ Total $________ International customers: Payment must be in the form of a US$ dollar check from a US bank. Mail Order Form with Check or Money Order To: Andrew J. Martignoni III 2850 N. 89th St. Caseyville, IL 62232-2317 NOTE: Shipping will be held untill checks clear.