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Text File  |  1995-10-02  |  3KB  |  47 lines
  1.  A T O M I C   E N T E R T A I N M E N T                   SOFTWARE ORDER FORM
  2. ______________________________________________________________________________
  3. Take a few minutes to fill out our easy order form and you'll be  on your way 
  4. to exciting gaming in no time!  Fill out this simple form or call us today!
  5.  
  6. NAME:_________________________________ COMPANY:_______________________________
  7.  
  8. ADDRESS:______________________________ CITY/ST/ZIP:___________________________
  9.  
  10. PHONE:________________________________
  11.  
  12. PAYMENT:  [ ] Check*      [ ] Money Order*                *(Must be drawn    )
  13.           [ ] Visa        [ ] Mastercard   [ ] Discover    (against a US bank)
  14.  
  15. CARD NUM: ______________________ EXP:_____ SIGNATURE:_________________________
  16.  
  17. Where did you get the product containing this form?___________________________
  18.  
  19.  _____________________________________________________________________________
  20.  ____                                                                         
  21. |    | SKUNNY - CD-ROM ................................................ $39.95
  22. |____|     6 Huge Treasure Areas with over 100 unique levels                  
  23. |    | SKUNNY - Pirates Gold playable demo CD-ROM ...................... $6.00
  24. |____|     Try the playable demo of SKUNNY                                    
  25. |    | DECIMATION CD-ROM .............................................. $19.95
  26. |____|     Battle in the far reaches of space!                                
  27. |    | FUNBALL ........................................................ $19.95
  28. |____|     Wrack your brains on this scrolling strategy game.                 
  29. |    | WINDIVERSIONS .................................................. $19.95
  30. |____|     A group of games that bring fun to your Windows desktop            
  31. ______________________________________________________________________________
  32.                                                                     |         
  33.   TOLL-FREE ORDER LINE     ______________________           SUBTOTAL|         
  34.      1-800-ATOMIC-9       |                      |                  |=========
  35.                           |   SHIPPING CHARGES   |                  |         
  36.      FOREIGN ORDERS       |______________________| Indiana residents|         
  37.      1-970-339-7149       |                      |  add 5% sales tax|_________
  38.                           |Regular UPS        $5 |                  |         
  39.     24 HOUR FAX LINE      |Airborne 2-day     $7 |--------> SHIPPING|         
  40.      1-970-330-7655       |Airborne Overnight $10|                  |_________
  41.                           |                      |                  |         
  42.   Atomic Entertainment    |Outside U.S.A.     $8 |       ORDER TOTAL|         
  43.   Starpak Order Processing|______________________|                  |=========
  44.   P.O. Box 1230                                                               
  45.   Greeley, CO  80631                                 THANK YOU FOR YOUR ORDER!
  46. ______________________________________________________________________________
  47.