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Text File  |  1998-04-23  |  2KB  |  55 lines
  1.  
  2.                      3D WILD DIAMONDS 98 U.K. ORDER FORM
  3.  
  4.           Name             ________________________
  5.  
  6.           Company          ________________________
  7.  
  8.           Address          ________________________
  9.  
  10.           City             ________________________
  11.  
  12.           Postal Code      ________________________
  13.  
  14.           Country          ________________________
  15.  
  16.           Phone            ________________________
  17.  
  18.           EMAIL ADDRESS    ________________________
  19.                          If you include your email address, we can
  20.                          send you the registration code immediately.
  21.  
  22.      DISK SIZE:  (  ) 3-1/2"   (  ) CD-ROM
  23.  
  24.      I AM ORDERING:
  25.         (  ) 3D WILD DIAMONDS             (£12)
  26.         (  ) 3D HOTSLOTS                  (£12)
  27.         (  ) 3D STARS & STRIPES           (£12)
  28.  
  29.         (  ) ANY TWO ABOVE--mark choices  (£19)
  30.         (  ) ALL THREE 3D SLOTS GAMES     (£22)
  31.  
  32.      INTERNATIONAL ORDERS
  33.      --------------------
  34.      Please add £2.00 for shipping if you live outside the United
  35.      Kingdom (no charge for shipping within the U.K.).
  36.  
  37.      Amount Enclosed: £_________
  38.  
  39.      Make your check or money order payable to Gamescape Studios.
  40.  
  41.      Mail payment and registration form to:    Gamescape Studios,
  42.                                                Egloshayle,
  43.                                                Wadebridge,
  44.                                                Cornwall,
  45.                                                United Kingdom,
  46.                                                PL27 6AX
  47.      Payment Method:
  48.                      ___ Check   ___ Money Order   ___ VISA   ___ MasterCard
  49.  
  50.      Credit Card Number #_____ - _____ - _____ - _____   expires ____/____
  51.  
  52.      For credit card orders:  Call 01208 816323   (UK and Ireland)
  53.                                    1-541-664-1885 (International)
  54.                                    1-541-664-3403 (FAX)
  55.