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Text File  |  1995-01-13  |  1KB  |  42 lines

  1.           Order Form for Landmark Solutions
  2.  
  3. Your system is a 386SX or faster with 
  4. VGA graphics, hard disk, and 640Kb memory, Yes_______  No_______
  5. Note:If you checked No, the game will not work with the system
  6.  
  7. Name:   _____________________________________________________
  8.                              
  9. Address:_____________________________________________________
  10.      
  11. City:   _____________________________________________________
  12.  
  13. State:  _________________ Zip:_______________________________
  14. Phone 
  15. Number:  ( ______ ) ________ - ____________
  16.  
  17. Disk Size   3.5"________  5.25"__________
  18.         
  19. ----------------------------------------------------------------
  20.                                    Quantity             Total  
  21. ----------------------------------------------------------------
  22.      
  23. Sir AddaLot's Math Adventure       ________ X $19.95 = ________
  24.  
  25.                          WI residents add 5% Sales Tax ________
  26.  
  27.                                                  TOTAL ________
  28.  
  29. Method of payment:      
  30. [ ] Check or money order made payable to Landmark Solutions, Inc.
  31. [ ] VISA     [ ] MasterCard    
  32.      
  33. Card No:__________________________________ Expires:______________
  34.      
  35. Thank You For Registering!!
  36.  
  37. Our Address:
  38.              LANDMARK SOLUTION, INC.
  39.              P.O. Box 13534
  40.              Green Bay, WI 54303-3534
  41.              1-800-543-7947
  42.