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1996-11-28
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2KB
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44 lines
CRUSH! Order/Registration Form
Stone Jackal Studios ___/___/___
P.O. Box 637 MM/DD /YY
Gilbert, Az 85234 USA
PLEASE PRINT OR TYPE CLEARLY!
Name: __________________________________________________________________
Address: _______________________________________________________________
__________________________________Zip/Postal Code______________
______________________________________ Country ________________
Phone: ___________________________________ Fax: _______________________
Email: _________________________________________________________________
Pay By: [ ] Cheque (USA only) [ ] Money Order
SHIPPING CHARGES: If ordered from outside of the USA, the shipping charge
is US$8 and will be delivered via airmail.
For orders within the USA, the shipping charge is US$3 and will be
delivered via 2-3 day priority mail.
Price List Cost Qty Price
------------------ ------------------ ----- --- ------
CRUSH! Tournament play (registered) US$20.00 ___ $ ______
Subtotal: $ ______
AZ residents add 6.75% sales tax: $ ______
Shipping Charges (See above for amount!): $ ______
Total Enclosed: $ ______