home *** CD-ROM | disk | FTP | other *** search
/ GRAVIS Top 100 #5 / GRAVIS CD No5_Herbst_95.cdr / GRAVIS / PD ⁄ Shareware / Spiele / Realmz 2.1 / Realmz Registration⁄Order Form < prev   
Text File  |  1995-07-08  |  3KB  |  49 lines
  1. Realmz Registration / Order Form
  2.  
  3. Mail this completed form with payment to:
  4.  
  5. Fantasoft, LLC
  6. P.O. Box 1844
  7. Waukesha, WI 53187-1844
  8. USA
  9.  
  10. OR Phone/Fax this information to us at:  (414) 963-4429
  11.  
  12. OR  e-mail information below to:  74163.45@Compuserve.com
  13.  
  14. SERIAL NUMBER OF YOUR COPY OF REALMZ                                          Version                 
  15. To find the serial number and version of your copy, select "About Realmz" under the Apple menu.  The serial number and version will be displayed to the right of the yellow spider.
  16.  
  17. Last Name                                                                             First Name                                 
  18.  
  19. Address                                                                                                              Apt#             
  20.  
  21.                                                                                                                                                 
  22.  
  23. City                                                   State                   Zip                   Country                       
  24.  
  25. E-Mail Address:                                                                                                                       
  26.  
  27. Please Include a self-addressed envelope if ordering by mail.  It will make it MUCH easier for us to send your registration codes as soon as possible.
  28.  
  29. I would like to register:
  30. "Realmz" scenario driver and "City Of Bywater" scenario.......YES        ($25)
  31. "Prelude To Pestilence" scenario........................................................YES        ($15)
  32. "Assault On Giant Mountain" scenario...............................................YES        ($15)
  33. "Castle In The Clouds" scenario...........................................................YES        ($10)
  34.  
  35. I would like to order on disks by mail:
  36. Send a full copy of "Realmz Character Editor" on disk.................YES        ($10)
  37. Send a copy of  "Realmz 2.1" scenario driver on disks..................YES        ($5)
  38. Send latest versions of all scenarios listed above on disk........YES        ($5)
  39.  
  40. *Foreign orders add $2 if ordering disks.    *Total Due = $           
  41.  
  42. Method of Payment:        [  ]  Cash            [  ] Visa
  43.                                                                     [  ]  Check          [  ] Mastercard
  44.  
  45. ___________________________________________________________________
  46. Account Number                                                                                                                                                Expiration Date
  47.  
  48. ___________________________________________________________________
  49. Name exactly as it appears on the credit card