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  1. Realmz Registration / Order Form
  2.  
  3. Mail this completed form with payment to:                                     Fantasoft, LLC
  4.                                                                                                                                                                                                                                                                                                                                                                      P.O. Box 14261
  5. Call us at:  (608) 249-5418    to order by phone                               Madison, WI 53714-0261
  6. Fax this form to us at:  (608) 249-5418                                        USA
  7.  
  8. SERIAL NUMBER OF YOUR COPY OF REALMZ                                          Version                 
  9. To find the serial number and version of your copy, select "About Realmz" under the Apple menu.  The serial number and version will be displayed to the right of the yellow spider.
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  11. Last Name                                                                             First Name                                            
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  13. Address                                                                                                                         Apt#             
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  15.                                                                                                                                                            
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  17. City                                            State                 Zip/Post Code                     Country                       
  18.  
  19. Phone Number:                                       E-Mail Address:                                                                  
  20.  
  21. I would like to register:
  22. "Realmz" scenario driver and "City Of Bywater" scenario...............................Yes____$25
  23. "Assault On Giant Mountain" scenario...............................................................Yes____$15
  24. "Prelude To Pestilence" scenario......................................................................Yes____$15
  25. "Castle In The Clouds" scenario.........................................................................Yes____$10
  26. "Destroy The Necronomicon" scenario..............................................................Yes____$12
  27.  
  28. I would like to order disks by mail:
  29. a) "Realmz Character Editor" & "Scenario Hints" on disk...............................Yes____$10
  30. b) Send latest version of Realmz scenario driver on disks..............................Yes____$5
  31. c) Send latest versions of listed scenarios & "Scenario Hints"  on disk..........Yes____$5
  32. a + b + c..........................................................................................................Yes____$15 
  33.  
  34. *Foreign orders add $3 to total due for shipping and handling if ordering Realmz Disks, Scenarios Disk or PC Editor disk.
  35.                                                                                                                                                                                 Total Due = $           
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