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  1. Exile Registration / Order Form
  2.  
  3. Mail this completed form with payment to:                                 Fantasoft, LLC
  4.                                                                                                                                                                                                                                                                                                                                                                  P.O. Box 1844
  5.                                                                                                                                                                                                                                                                                                                                    Waukesha, WI 53187-1844
  6. Call us at:  (414) 963-4429    to order by phone                                                    USA
  7. Fax this form to us at:  (414) 963-4429
  8.  
  9. Registration Code for Exile                                   
  10. To find out the registration code, select 'Shareware Info' from the title screen of Exile.
  11.  
  12. Registration Code for Exile Character Editor                                    
  13. To find out the registration code, select "Registration Info" from the menu.
  14.  
  15. Without this, we cannot process your order.
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  17. Last Name                                                                             First Name                                            
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  19. Address                                                                                                                         Apt#             
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  21.                                                                                                                                                            
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  23. City                                                   State                   Zip                      Country                              
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  25. E-Mail Address:                                                                                                                                 
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  27.  
  28. I would like to register:
  29. Exile: Escape From The Pit..........(Make sure you filled in your code above).......NO          YES           ($25)
  30.  
  31. The Exile Character Editor...........(Make sure you filled in your code above)........NO          YES            ($10)
  32.  
  33. I would like to order by mail:
  34. The hint booklet to Exile..................................................................................NO          YES            ($6.50)
  35.  
  36. *Foreign orders add $2 if ordering disks.                                *Total Due = $           
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