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Text File  |  1996-08-21  |  2KB  |  62 lines
  1. --------------------------------------------------------------
  2.                     Bonkheads Order Form
  3. --------------------------------------------------------------
  4.  
  5. We hope you have enjoyed the demo version of Bonkheads.  To
  6. order the full version on CD-ROM, please choose from the
  7. following options:
  8.  
  9.    By Phone              Mail this form          Fax this form
  10.    --------              --------------          -------------
  11. 1-888-447-3767        1 A.M. Entertainment      (253) 428-0946
  12.  (toll-free)          P.O. Box 39086
  13.                       Tacoma, WA 98439-0086
  14.  
  15.  
  16.  Quantity       Description          Price            Total
  17.  -------        -----------          -----            -----
  18.  
  19.  _______        Bonkheads PC         $24.95          _______
  20.   
  21.  
  22.                 WA State residents add 8.4%          _______
  23.  
  24. **Shipping:    $5 if ordering within
  25.                the United States and
  26.                $7 shipping if outside
  27.                North America.
  28.  
  29.                Shipping/Handling (choose one)        $5 / $7
  30.                                                      --------
  31.                         
  32.                                         TOTAL       $________
  33.  
  34. Make check or money order payable to: 1 A.M. Entertainment
  35.  
  36. Bonkheads PC is shipped on one (1) CD-ROM for Windows 95/NT
  37. or higher
  38.     
  39.                     ---------------------
  40.  
  41. PAYMENT:   [ ] Check/Money Order   [ ] VISA   [ ] MasterCard
  42.  
  43. Card Number:________________________________________________
  44.  
  45. Exp. Date:______________  Name on card:_____________________
  46.  
  47. Signature:______________________ (required for credit card orders)
  48.  
  49. Ship to: _____________________________ (name)
  50.  
  51.      _____________________________ (street)
  52.  
  53.      _____________________________
  54.  
  55.      _____________________________ (city, state, zip)
  56.  
  57.      _____________________________ (telephone)
  58.  
  59.  
  60.          Send Payment to:  1 A.M. Entertainment
  61.                            P.O. Box 39086
  62.                            Tacoma, WA  98439-0086