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Text File  |  1996-11-28  |  2KB  |  44 lines
  1.  
  2.                        CRUSH! Order/Registration Form
  3.  
  4.     Stone Jackal Studios                                      ___/___/___
  5.     P.O. Box 637                                               MM/DD /YY
  6.     Gilbert, Az 85234 USA
  7.     
  8. PLEASE PRINT OR TYPE CLEARLY!
  9.  
  10.     Name: __________________________________________________________________
  11.  
  12.     Address: _______________________________________________________________
  13.  
  14.              __________________________________Zip/Postal Code______________
  15.  
  16.              ______________________________________ Country ________________
  17.  
  18.     Phone: ___________________________________  Fax: _______________________
  19.  
  20.     Email: _________________________________________________________________
  21.  
  22.     
  23.     Pay By:   [ ] Cheque (USA only)  [ ] Money Order  
  24.     
  25.  
  26. SHIPPING CHARGES: If ordered from outside of the USA, the shipping charge 
  27.     is US$8 and will be delivered via airmail. 
  28.     For orders within the USA, the shipping charge is US$3 and will be 
  29.     delivered via 2-3 day priority mail. 
  30.  
  31.       Price List                                 Cost        Qty   Price
  32.       ------------------ ------------------      -----       ---   ------
  33.       CRUSH! Tournament play  (registered)       US$20.00    ___ $ ______
  34.       
  35.  
  36.     
  37.       Subtotal:                                                  $ ______
  38.       AZ residents add 6.75% sales tax:                          $ ______
  39.       Shipping Charges (See above for amount!):                  $ ______
  40.  
  41.       Total Enclosed:                                            $ ______
  42.  
  43.     
  44.