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Text File  |  1992-03-19  |  1KB  |  35 lines
  1.                 Box World ( 100 levels ) Order Form
  2.                 ===================================
  3.  
  4.        Name: __________________________________________________
  5.  
  6.     Company: __________________________________________________
  7.  
  8.     Address: __________________________________________________
  9.  
  10.        City: ___________________________ State: _______________
  11.  
  12.     Country: _______________________ Post/Zip Code: ___________
  13.  
  14. Where did you obtain
  15.     the program from:  ________________________________________
  16.  
  17.  
  18. Payments:
  19. =======
  20. Payments must be in US Dollars.
  21.  
  22.    Box World (100 Levels)....   $5.00 x ____ copies  = $_______
  23.    Overseas shipping.........                 $3.00  + $_______
  24.    Total.....................                          $_______
  25.  
  26. specify your disk size:
  27.                           ____ 5.25" ____ 3.5"
  28.  
  29. Make your check payable to Jeng Long Jiang, and send it to:
  30.  
  31.      P.O. Box 51731
  32.      2085 E. Bayshore Road
  33.      Palo Alto, CA 94303-9991
  34.      USA
  35.