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/ Inside Mac Games Volume 4 #7 / IMG 38 July 1996.iso / Shareware / DragonMaze™ v2.7 Demo / DragonMaze™ Order Form < prev    next >
Text File  |  1996-06-04  |  1KB  |  38 lines
  1. DragonMaze™ Order Form
  2.  
  3. Mail this completed form with payment to:
  4.  
  5. …by Design, Inc.
  6. 451 Chelan
  7. Golden, CO 80401
  8. USA
  9.  
  10. OR Fax this information to us at:  (608) 592-7732
  11.  
  12. OR Phone us TOLL-FREE at (800)-527-7472
  13.  
  14. OR  e-mail information below to:  DESIGNINC@AOL.COM
  15.  
  16. Last Name                                                                             First Name                                 
  17.  
  18. Address                                                                                                              Apt#             
  19.  
  20.                                                                                                                                                 
  21.  
  22. City                                                   State                   Zip                   Country                       
  23.  
  24. E-Mail Address:                                                                                                                       
  25.  
  26. ____One copy of DragonMaze™ Generator:  $39.95
  27. ____One copy of DragonMaze™ with 10 levels:  $19.95
  28. ____Add $5 S&H for orders outside North America
  29.  
  30.  
  31. Method of Payment:       
  32.  [  ] Visa                  [  ] Mastercard                    [  ]  Check (payable to …by Design, Inc.)         
  33.  
  34. ___________________________________________________________________
  35. Account Number                                                                                                                                                Exp Date
  36.  
  37. ___________________________________________________________________
  38. Name exactly as it appears on the credit card