============================================================ Crop Circles ORDER FORM (Product Code: CROP1100) ============================================================ YOUR INFORMATION (please print or type) First Name: ________________________________ Last Name: ________________________________ Address: ________________________________ ________________________________ City: ________________________________ State/Province: ____________ Postal Code: ____________ Country: ____________ Email: _________________________________ (we cannot process an order without an Email address) ------------------------------------------------------------ PRODUCT COST 1 Crop Circles Registration Key @ 19.95 (USD) each If Washington resident, add 8.6% sales tax. WA State Sales Tax: ________($1.72) Total: ________ ------------------------------------------------------------ PAYMENT Please choose either: 1. Credit Card (VISA, MASTERCARD, or AMERICAN EXPRESS) Card #: _________________________________________ Expiration Date (MM/YY): _____ / _____ Signature: ______________________________________ or 2. Check or Money Order (all checks must be drawn on a US Bank for US Dollars) Make Payable to: Zero Entertainment, Inc. Fax or Mail to: Zero Entertainment, Inc. 911 E. Pike St. #208 Seattle, WA 98122-3839 USA 24 Hour Fax: 206 302-7561 ============================================================ We will email your Registration Key, with instructions, as soon as we process your order (usually within 48 hours). ============================================================ You can also purchase a key online at: http://www.zeroentertainment.com/register or call our TOLL-FREE order line at: (800) 962-9709 9AM-6PM PST