Empire Interactive

USA online ordering

e now offer direct online ordering of any Empire Interactive title, simply fill in the form below and click on 'Send Order To Empire'. This information is held on a secure server for your peace of mind.

rders from customers within the USA (not Canada) include postage and packing, those outside the USA will be charged $5 per item to cover postage charges. Items marked * are not yet released, pre-orders will be despatched on the day of release. For release dates and other information regarding our products please visit the Gameszone.

Product Title

Qty

Unit $

Price

			Subtotal:
			Delivery:
			TOTAL:

Click here if you live
outside the United States

PERSONAL DETAILS

Name:

Address:

Town/City:

State/Region:

Zip/Postal Code:

Country:

Phone:

Email address:

PAYMENT DETAILS
Please remember that any credit card information submitted using
this form will be transferred to us via a secure server for your
peace of mind.

The total value of your order is:

I enclose a cheque/postal order.

Please charge my credit card.

(Access/Visa/Mastercard)

My credit card number:

My credit card expiry date:

If you would rather not send your credit card details over the internet, simply print out this form by selecting print from your browser's file menu then fax it to us on (415) 439 4928 or FREE phone 1 800 216 9706 between 9.30AM and 5.30PM every week day.

Please include any comments or special instructions
regarding your order in the space below:

	Name:
	Address:
	Town/City:
	State/Region:
	Zip/Postal Code:
	Country:
	Phone:
	Email address:

	The total value of your order is:
	I enclose a cheque/postal order.
	Please charge my credit card.	(Access/Visa/Mastercard)
	My credit card number:
	My credit card expiry date:

	If you would rather not send your credit card details over the internet, simply print out this form by selecting print from your browser's file menu then fax it to us on (415) 439 4928 or FREE phone 1 800 216 9706 between 9.30AM and 5.30PM every week day.
	Please include any comments or special instructions regarding your order in the space below: