Remit Checks To: Please Edit this Invoice and then Print. Thank You. James Tolliver Your Name: ______________________ P.O. BOX 4071 Stamford CT 06907-0071 Company: ______________________ USA Date: ---------------------- Telephone 1 203 322 0298 (Questions and Problems, Online is Preferred) Payment Options. All orders shipped very quickly. 1. Cash. Use form below. International see details below. 2. Checks and Money Orders. International Please see details below 4. Credit Cards. Please read the information in the Mr Vegas order form. Address: _____________________________________________________ City: ____________________________________________________ State or Province: __________ Country: __________________ Zip or Postal Code: ___________ Telephone: __________________ Qty Unit Price Total Complete Full Version __ Turbo Video Poker (No Disk) $15.00 ___________ Best video poker game ever. Graphs, Statistics. Instant Registration Code is sent by Email or Mail Complete Full Version __ Turbo Video Poker (With a 3 1/2 Disk) $20.00 ___________ Best video poker game ever. Graphs, Statistics. (International users may use cash, US check or money order of Total ___________ equivalent funds) Comments ___________________________________________________ ____________________________________________________________ Form vpcs20 Your Online ID Internet, CIS, AOL ______________________________