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Text File  |  1995-09-19  |  1.1 KB  |  53 lines

  1. Order Form...Order Form...Order Form...Order Form...Order Form...Order Form..
  2.  
  3.                  LandMine!
  4.             ItÆll Blow You Away!
  5.  
  6. Please use Check or Money Order only.
  7.  
  8. FEE:  $10.00   -   Outside US: add $5.00 
  9.  
  10.  
  11. Number of Copies :_____________  (It makes a great gift!)
  12.  
  13.  
  14. Name:______________________________________________________________
  15.  
  16.  
  17. Address:___________________________________________________________
  18.  
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  20. City:  ___________________________________________ State:__________ Zip:___________
  21.  
  22.  
  23. Email address: ___________________________________
  24.  
  25. What type of a computer do you have?   386( )   486( )   Pentium(  )   PowerPC( )
  26.  
  27. Do you have a CD-ROM?                         YES( )    NO( )
  28.  
  29. Do you like adventure games?                 YES( )    NO( )
  30.  
  31. Would you like to hear more about by software?        YES( )    NO( )
  32.  
  33. Do you get tired of answering stupid surveys?         YES( )    NO( )
  34.  
  35. What age is the primary user?                1-24( )    25-35( )    36-59( )    60-119( )
  36.  
  37.  
  38. Mail To:        Roger Robertson
  39.         PO Box 6217
  40.         Bluefield WV 24701-6217
  41.  
  42. Email:        Rob24701@aol.com
  43.  
  44.  
  45. Thank you for your Order!
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