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Text File  |  1996-08-31  |  3KB  |  92 lines
  1.         Star Trek / Diamond Figures Order Form 
  2.  
  3. Name:     ______________________________________________
  4.  
  5. Address:  ______________________________________________
  6.  
  7.           ______________________________________________
  8.  
  9. City:     ___________________________
  10.  
  11. State:    ___________________________
  12.  
  13. Zipcode:  ___________________________
  14.  
  15. Phone:    ___________________________
  16.  
  17. Email:    ___________________________
  18.  
  19.  
  20. How did you obtain the shareware version?
  21. (check one)             (please specify the name)
  22.  
  23. ____ Internet Site      ________________________________
  24. ____ BBS                ________________________________
  25. ____ Compuserve         ________________________________
  26. ____ Shareware Vendor   ________________________________
  27. ____ Shareware Catalog  ________________________________
  28. ____ Magazine           ________________________________
  29. ____ Friend             ________________________________
  30. ____ Other              ________________________________
  31.  
  32. Circle disk size:     5 1/4" - 1.2MB        3 1/2" - 1.44MB
  33.  
  34.                       5 1/4" - 360KB        3 1/2" - 720KB
  35.  
  36.                       Email - no S&H required
  37.  
  38. Circle what type of equipment you have (optional)
  39.  
  40.     286    386    486    586    686
  41.  
  42.     EGA    VGA    Super VGA
  43.  
  44. Do you have a sound card:   yes    no
  45.  
  46.    AdLib  SoundBlaster  ThunderBoard   ProAudio  _______________
  47.  
  48.  
  49. Product Name                        Available              Price
  50. ________________________________________________________________
  51.  
  52. Star Trek for Windows 95            05/30/96              $19.95
  53.  
  54. Star Trek for Windows               06/01/96              $19.95
  55.  
  56. Star Trek Solar Sys. Dev. Kit       --SOON--               $9.95
  57.  
  58. Ninety-nine                         05/30/96               $4.95
  59.  
  60. Thirty-one                          --SOON--               $4.95
  61.  
  62. Twenty-one                          Not Yet                $4.95
  63.  
  64. Thirteen                            Not Yet                $4.95
  65.  
  66. Fifteen                             Not Yet                $4.95
  67.  
  68. Eleven                              Not Yet                $4.95
  69.  
  70. Twenty-three                        Not Yet                $4.95
  71. ________________________________________________________________
  72.  
  73. Subtotal                                               $________
  74.  
  75. IL Residents add Sales Tax                             $________
  76.  
  77. S&H $3.95  (unless you choose e-mail shipping)         $________
  78.  
  79. Total                                                  $________
  80.  
  81.  
  82. International customers:  Payment must be in the form of a US$
  83. dollar check from a US bank.
  84.  
  85. Mail Order Form with Check or Money Order To:
  86.  
  87.     Andrew J. Martignoni III
  88.     2850 N. 89th St.
  89.     Caseyville, IL 62232-2317
  90.  
  91. NOTE: Shipping will be held untill checks clear.
  92.