Registration Form

I'm asking for $25 for a single registration plus $15 per additional registraton.  If you have a real urge to send more, don't hold back. Trust your feelings!  A maximum of 4 registrations per order please.  In return I will send you a letter with the registration code ('s).  At this time I can't send you the latest version on disk via mail do to cost and time constraints.

Make a check or money order payable in U.S. funds to Tim Phillips and mail to:

Fantasoft Inc.
C/O Registration
P.O. Box 1844
Waukesha, WI 53187-1844
USA

Please Include a self-addressed stamped envelope.  I will use that to send you your registration code('s) via U.S. Mail.  If ordering outside of the United States, please include a self-addressed envelop and $1 to cover the cost of postage.

Please print neatly and impress me with your penmanship.

First Name                                   Last Name                                               

Address                                                                                                       

                                                                                                                    

City                                                         State                     Zip                  
               
Organization                                                                                               

Serial Number of your copy                                           See the about box in the game.
Serial Number of additional copy                                   add $15
Serial Number of additional copy                                   add $15
Serial Number of additional copy                                   add $15

Version of Realmz you wish to register                            

My address on the following service is:

America Online                                              Compuserve                                      
Internet                                                  			  Delphi                                              

Please send me my registration by e-mail on the following service:                                             

Still include the self addressed stamped envelope just in case I can't reach you by e-mail.