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Text File  |  1998-09-21  |  4KB  |  80 lines
  1.                                                         CD-ROM ORDER FORM                            
  2.  
  3. Name:_____________________________________________________
  4.  
  5. Address:___________________________________________________
  6.                             
  7. Phone #:___________________________________________________
  8.  
  9. Payment:    MC______                Visa_______        Chk#_________
  10.  
  11. If paying by check, make payable to MANGAMANIA
  12.  
  13. Card #:____________________________________                    Expiration:_________        
  14.                             
  15. Signature:________________________________________________________                            
  16.                             
  17. Quantity    Descript                                                                 Unit Price           Total
  18.  
  19.                   The Heroic Legends of Hercules & Xena     Now Available    34.95
  20.                   Left at East Gate                                                                     Now Available     29.95    
  21.                   Beyond Roswell                                                                       Now Available    29.95    
  22.                 Bubblegum Crisis Video Screen Saver            Now Available        34.95    
  23.                  Project A-KO Video Screen Saver                  Now Available        34.95    
  24.                  Ranma 1/2 Video Screen Saver                      Now Available        34.95    
  25.                  Tenchi Muyo! Video Screen Saver                   Now Available      34.95    
  26.     
  27.              Record of Lodoss Wars[]Vol 1 []Vol 2 []Vol 3 []Vol 4 Now Avail 24.95 each    
  28.                Record of Lodoss Wars all 4 Volumes together            Now Available        79.95    
  29.  
  30.                La Blue Girl*  []Vol 1 []Vol 2 []Vol 3 []Vol 4            Now Available        24.95 each    
  31.                             Lady Blue*   []Vol 1                                                                    Now Available            24.95
  32.                             Lady Blue *  []Vol 2                                                                    Now Available        24.95
  33.  
  34.                Urotsukidoji III[]Vol 1* []Vol 2* []Vol 3* []Vol 4* Now Available        24.95 each    
  35.                Urotsukidoji III all 4 Volumes together*                     Now Available        49.95
  36.  
  37.                             Anime Pin-Up Beauties*                                                Now Available     29.95
  38.                             More Anime Pin-Up Beauties*                                Now Available     29.95
  39.                             Anime Pin-Up Beauties '99*                                    Now Available            29.95
  40.                             Fashion Town - Featuring the Anime Pin-Up Beauties(Game)        29.95    
  41.     
  42.  
  43.                CyberCity OEDO 808 Data One w/2 free comic books            Now Available        10.00    
  44.     
  45.              Adventure Kid Volume 1*                             Now Available        24.95    
  46.                Adventure Kid Volume 2*                             Now Available        24.95
  47.                             Twin Angels Volume 1*                               Now Available    24.95
  48.                             Twin Angels Volume 2*                               Now Available    24.95
  49.                             Venus 5 Volume 1*                                      Now Available    24.95
  50.                             Venus 5 Volume 2*                                      Now Available    24.95
  51.  
  52.                Legend of Lemnear                                       Now Available      19.95    
  53.                Cybernetics Guardian                                   Now Available      19.95    
  54.                Iria Zeiram the Animation Volume 1            Now Available        19.95    
  55.                Iria Zeiram the Animation Volume 2            Now Available        19.95    
  56.                Roujin Z                                                       Now Available        19.95        
  57.                Venus Wars                                                  Now Available        19.95    
  58.                Dominion Tank Police                             Now Available        19.95    
  59.                Lum - Beautiful Dreamer Movie 2                Now Available         19.95
  60.                             Battle Arena Toshinden                               Now Available    19.95
  61.                             Gowcaizer Round 1 & 2                                              Now Available      19.95
  62.                             Slayers Video CD eps 1-4                                            Available 11/98        19.95
  63.  
  64.                                                                                                                   Shipping & Handling                        
  65.  
  66.     *These are Adult Titles - Must be 18 Years or Older                                                         Subtotal    
  67.  
  68. Please circle which volume you are ordering                        Sales Tax (NYS residents add sales tax)    
  69.                                                                                                                                                   Total    
  70.                             
  71. Please specify how you would like your package sent:                            
  72.  
  73. Shipping & Handling Costs             _____UPS Ground    _____UPS 2nd Day        _____Next Day Air    
  74.                UPS Grnd    2 Day Air     2nd Day Air        Next Day            US Mail         Priority Mail    
  75. 1 Item      $7.00        $9.00             $13.00               $19.00               $10.00           $15.00     
  76. 2 Items    $8.00        $10.00           $14.00               $20.00               $12.00           $17.00     
  77. 3 Items    $9.00        $11.00           $15.00               $21.00               $14.00           $19.00     
  78.     (within the continental US)(Hawaii & Alaska)    (US)    (Canada Only)        
  79.  
  80.