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Text File  |  1995-04-25  |  4KB  |  87 lines
  1.                    PHAZE SOFTWARE REGISTRATION FORM
  2.                    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  3.                                                                   
  4.     Name:________________________________  Title:________________ 
  5.                                                                   
  6.     Company:_____________________________________________________ 
  7.                                                                   
  8.     Address:____________________________ City:___________________ 
  9.                                                                   
  10.     State:___________   Zip:_____________  Country:______________ 
  11.                                                                   
  12.     Date:_____/_____/_____       (Please fill out form completely)   
  13.  
  14.     ---------------------------------------------------------------
  15.     Product                     #     Price/ea     S&H       Total 
  16.     ---------------------------------------------------------------
  17.            * Denotes RPG Utility    ~Denotes WWIV Utility
  18.  
  19.  
  20.     Bible Baseball             ___    _$20.00_              _______
  21.     Ultimate Dice              ___    _$10.00_              _______ 
  22.     Dice Squares               ___    _$10.00_              _______ 
  23.     Hymn                       ___    _$10.00_              _______ 
  24.     Make Function Key          ___    _$ 2.00_              _______
  25.     Sunrise score lister       ___    _$ 2.00_              _______
  26.     
  27.    ~Dmail Shell for WWIV       ___    _ FREE _              _______
  28.    ~SMW Read for WWIV          ___    _ FREE _              _______
  29.    ~VGA Planets Assistant      ___    _ FREE _              _______
  30.    ~WWIV Online VOC player     ___    _ FREE _              _______
  31.          (source included)
  32.     
  33.    *Random Dice Roller         ___    _$ 2.00_              _______
  34.    *Exp. Point Generator       ___    _$ 3.00_              _______ 
  35.    *Intelligent Weapon Maker   ___    _$ 5.00_              _______
  36.    *Magic Sword Generator      ___    _$ 5.00_              _______
  37.    *Random Treasure Generator  ___    _$ 5.00_              _______
  38.    *Sage Generator             ___    _$ 5.00_              _______ 
  39.    *Screen Matrix              ___    _$ 5.00_              _______
  40.    *Sword Master               ___    _$ 5.00_              _______
  41.    *THAC0 Chart maker          ___    _$ 5.00_              _______
  42.    *General Store              ___    _$10.00_              _______ 
  43.    *Character Generator        ___    _$10.00_              _______
  44.     
  45.     ALL RPG Utilities          ___    _$45.00_              _______
  46.  
  47.     
  48.     
  49.   Newest version(s) on disk (U.S. Mail)          _$ 2.50_   _______  
  50.                                                          ----------
  51.       Canadian Orders, Add $2.50 per copy                   _______
  52.  
  53.       International Orders, Add $6.50 per copy              _______
  54.  
  55.       KY Residents add appropriate sales tax (6%)           _______
  56.  
  57.                                      TOTAL ENCLOSED      __________
  58.  
  59.   Disk Size: [ ] 5-1/4" 1.2  [ ] 5-1/4" 360  [ ] 3-1/2" 1.44  [ ] 3-1/2" 720  
  60.  
  61.   Format Preferred:  [ ] ARJ   [ ] ZIP
  62.                      [ ] Self-Extracting
  63.                      [ ] Other __________
  64.  
  65.   [ ] Check enclosed      [ ] Money Order / Cashier's Check enclosed
  66.   (Checks must clear before order is processed)
  67.  
  68.   I can be reached through the following E-Mail addresses:
  69.   WWIVNet   ________________________________________
  70.   InterNet  ________________________________________
  71.   Fido      ________________________________________
  72.     
  73.   How did you hear about our Products?    [ ] BBS   [ ] Friend  
  74.   [ ] Other _____________________________________________________
  75.  
  76.                   Mail Completed form with Payment to: 
  77.  
  78.                   Phaze Software
  79.                   62 Chestnut Street
  80.                   Sturgis, KY  42459   
  81.  
  82.  
  83.          [Apr 1995]  Prices subject to change without notice.  
  84.  
  85.      For latest prices and information call: (502) 333-5570 (John)
  86.                                              (502) 389-3391 (Jonathan)
  87.