home *** CD-ROM | disk | FTP | other *** search
/ Chip Hitware 6 / Chip_Hitware_Vol_06.iso / chiphit6 / spiele / escveloc / register.ht_ / register.ht
Text File  |  1996-03-09  |  1KB  |  59 lines
  1. <PRE>
  2.                     - - - - - -
  3.  
  4. PRINT THIS Escape Velocity  Registration Form - using your web browser.
  5.  
  6. To register ESCAPE VELOCITY fill in this self-addressed mailer form below in ink with your name
  7. and address and send it with your payment check (staple check within) to:
  8.  
  9.     
  10.  
  11.  
  12.  
  13.  
  14.  
  15.  
  16.  
  17.  
  18.  
  19.  
  20. ----------  fold  ---------                                ----------
  21.  
  22.                                            _______
  23. Graham J. Kus                                       |      |
  24. Vertigo Software                                   |      |    
  25. P.O. Box 5102                                       |______|
  26. Lebanon, NH 03784                        
  27.     
  28.  
  29.  
  30.  
  31.                 Graham J. Kus
  32.                 Vertigo Software
  33.                 P.O. Box 5102
  34.                 Lebanon, NH 03784
  35.                 USA
  36.  
  37.  
  38.  
  39.                     - - - - - -
  40.                     
  41.  
  42.                     
  43. ----------  fold  ---------                                ----------
  44.  
  45. Order:   Please supply registered copy/copies of ESCAPE VELOCITY video game
  46.     (Quantity) ________   x    Registered* Edition  @  $18 each:    $______
  47.     Additional P&P for deliveries ouside the USA,  $4 per order     $______
  48.     Conversion fee for foreign currency payment, $7  per order      $______
  49. Total payment:                                $______
  50.  
  51. Name:        ____________________________________________________
  52.  
  53. Address:    ____________________________________________________
  54.  
  55.         ____________________________________________________
  56.  
  57.  
  58. </PRE>
  59.