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Text File  |  1992-07-29  |  3KB  |  121 lines
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  4.                     ESTERIAN CONQUEST(tm) REGISTRATION FORM
  5.  
  6.     Make checks or money                 Send your order to:
  7.     orders payable in                      ATTN: ESTERIAN CONQUEST(tm)
  8.     U.S. Currency to:                      Griffith International
  9.       GRIFFITH INTERNATIONAL               P.O. Box 530703
  10.                                            Birmingham, AL 35253
  11.  
  12.     PAYMENT INFORMATION:
  13.        Description                                    Each      Total
  14.        --------------------------------------------   ------    -----------
  15.  
  16.        ESTERIAN CONQUEST(tm) DOOR GAME             US $35.00    US $35.00
  17.        Check One:  [] 5.25" Disk    [] 3.5" Disk
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  20.        SHIPPING AND HANDLING:        Inside U.S.   US  $4.00    ___________
  21.        (Required on all orders)
  22.                                      Canada        US  $5.00    ___________
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  24.                          Outside U.S. and Canada   US $10.00    ___________
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  27.                                            TOTAL ENCLOSED:   US $__________
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  30.     ENTER NAMES AS YOU WANT THEM TO APPEAR ON THE GAME SCREEN:
  31.  
  32.        Sysop Name(s): ____________________________________________________
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  34.        BBS Name: _________________________________________________________
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  37.     SHIP TO:
  38.        Name: _____________________________________________________________
  39.  
  40.        Address: __________________________________________________________
  41.  
  42.                 __________________________________________________________
  43.  
  44.     PHONE:
  45.        Voice: (______)_________________    BBS: (______)__________________
  46.  
  47.     TYPE OF BBS SOFTWARE: ________________________   VERSION: ____________
  48.  
  49.     HOW DID YOU HEAR OF THE GAME? (Check Main Sources):
  50.        [] Download from Support BBS (Salt Air, WildCat, etc.): ___________
  51.        [] Download from a local BBS
  52.        [] User(s) Requested/Uploaded Game to BBS
  53.        [] Played on another BBS
  54.        [] ECHO Conference(s): ____________________________________________
  55.        [] Sysop or friend told you about Esterian Conquest
  56.        [] Other: _________________________________________________________
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  58.     DID YOUR USERS PAY FOR THIS REGISTRATION?:  [] All   [] Part   [] None
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  64.     __________________________________                            +-------+
  65.                                                                   | Place |
  66.     __________________________________                            | Stamp |
  67.                                                                   | Here  |
  68.     __________________________________                            +-------+
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  73.                              ATTN: ESTERIAN CONQUEST(tm)
  74.                              Griffith International
  75.                              P.O. Box 530703
  76.                              Birmingham, AL 35253
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  117.     Place Feedback Form or Order Form inside this page.  Fold into thirds.
  118.     Insert any checks or money orders.  Tape on bottom and sides.
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