home *** CD-ROM | disk | FTP | other *** search
/ Shareware Games Galore! / Shareware Games Galore!.iso / arcade / xcute / order.doc < prev    next >
Text File  |  1992-09-20  |  2KB  |  55 lines
  1. ===========================================================================
  2.                     BLOODLUST SOFTWARE ORDER FORM
  3.  
  4.  
  5.  _____________________________________________________________________
  6. |Item                                   |   Price   |  Qty.  | Total  |
  7. |---------------------------------------+-----------+--------+--------+
  8. | EXECUTIONERS(C)                       |  $30.00   |        |        |
  9. |                                       |-----------+--------+--------|
  10. | Shipping/Handling                                          |+ $5.00 |
  11. |                                                            +--------+
  12. | Grand Total                                                |        |
  13. +------------------------------------------------------------+--------+ 
  14.  
  15.  
  16. Please send this order form along with a check, concealed cash, or
  17. money order to the following address:
  18.  
  19.              Bloodlust Software
  20.              1475 Willow Lane
  21.              Wichita, KS  67208
  22.  
  23.  
  24. ===========================================================================
  25. Please fill out the following for our records.
  26.                                                       
  27. NAME:   ___________________________________________________________________
  28.  
  29. ADDRESS:___________________________________________________________________
  30.  
  31. CITY:   _____________________________________  STATE:____   ZIP:___________
  32.  
  33. PHONE#: _____________________________________  AGE: _____
  34.       _         _          _
  35. SEX: |_| Often |_| Never  |_| Other(please explain)_________________________
  36.  
  37. ============================================================================
  38.  
  39.  
  40.  
  41. Are there any additional comments you would like to make about our game
  42. and/or ideas for future games? 
  43.  
  44. ____________________________________________________________________________
  45.  
  46. ____________________________________________________________________________
  47.  
  48.  
  49.  
  50.  
  51.  
  52. EXECUTIONERS(c) and all game characters are Copyright Bloodlust Software 1992
  53.  
  54.  
  55.