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- ===============================[ ORDER FORM ]==================================
- Lomax Software questions or comments :
- Kettelerstr.27 Germany / 02553 / 80763
- 48485 Neuenkirchen
- Germany
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-
- << Lomax Software will keep your personal information strictly confidential >>
-
- General:
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- First Name: __________________________________________________
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- Last Name: __________________________________________________
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- Address: __________________________________________________
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- City: __________________________________________________
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- State: __________________________________________________
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- Country: __________________________________________________
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- Zip/Postal Code: __________________________________________________
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- Phone #: __________________________________________________
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- *** MARK ALL GAMES YOU WISH TO ORDER ***
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- [ ] Magics1 - VGA strategy games with over 195 stages + two editors ($14.00)
- [ ] Hidden Fields - VGA action/strategy game with 28 levels! ($27.00)
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- *** HERE ARE SPECIAL COMBO OFFERS, WHICH SAVE YOU BIG BUCKS ***
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- [ ] MEGA COMBO: Magics1 + Hidden Fields (SAVE $4) ($37.00)
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-
- *** THE FOLLOWING ARE SHAREWAREVERSIONS OF OUR GAMES ***
-
- ( Some residents could not get all sharewareversions
- of our games, so you can "order" them now. )
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- [ ] Magics1 - VGA sharewareversion with 6 stages ($4.00)
- [ ] Hidden Fields - VGA sharewareversion with 4 levels/girls ($4.00)
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- Shipping and Handling: ($5.00)
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- Foreign Bank Transaction Fee (if you don't send US Dollars): ($2.00)
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- Total: ________
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- Please take the time to tell us how you got your shareware copy of this game:
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- ____ America Online ____ CompuServe ____ Prodigy
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- ____ ZiffNet ____ Software Creations ____ Friend
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- ____ Local BBS (Name & #): __________________________________________________
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- ____ Catalog (Name): ________________________________________________________
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- ____ CD (Name): _____________________________________________________________
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- ____ Other (Please specify): ________________________________________________
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- Is this your first order with Lomax Software : [ ] Yes [ ] No
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- Please choose disk size : [ ] 5 1/4 1.2MB [ ] 3 1/2 1.4MB
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- Payment type: [ ] Check [ ] Money Order
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- ALL PRICES ARE IN US DOLLARS.
- IF YOU CAN NOT GET US DOLLARS, YOU CAN ALSO MAIL THE SAME AMOUNT IN YOUR
- CURRENCY.
- IF YOU CHOOSE THE PAYMENT TYPE "MONEY ORDER", PLEASE ONLY SEND NOTES.
- MAKE CHECKS PAYABLE TO LOMAX SOFTWARE.
- ALL ORDERS WILL BE SHIPPED IN 24 HOURS.
- THANKS FOR ORDERING.
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