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- (04/27/96) M & S SOFTWARE ORDER FORM
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- Registration Name On Key:__________________________ Date:____________
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- Name if different:__________________________ Voice Phone:(____) _____-_______
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- Street Address:________________________________________
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- City:__________________________ State:___________ Zip Code:_______________
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- BBS Name :_________________________________ #1 BBS Phone:(____) _____-______
- #2 BBS Phone:(____) _____-______
- BBS Software:__________________ Modem Type/Speed:_________________________
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- Where Did You Get This Game? ______________________________
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- Send Reg Key(s): USMAIL____ NetMail____ You call & Download____ Internet____
- (See Note Below) Disk Size: 360K___ 720K___ 1.2m___
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- If you choose to download, files will be placed on Com-Dat BBS for you.
- I will pre-register you with first / last name above.
- Password you wish to use:___________________
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- I can Net Mail to Fido or most Front Door compatible mailers and also send
- over the Internet via uuencode or file attach.
- FIDO Net/NODE # or E-mail Address :____________________________
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- **Note: In most cases I will try to call your BBS to upload the key.
- Please Pre-Log me in under the name of Mike Jordan.
- I will complete the other data when I log on.
- Password you have assigned me for Pre-Log-in:______________
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- Payment: Money Order____ Check____ COD____ Visa____ MC____ Discover____
- Note: All COD fees will be added to COD orders.
- Make Checks & Money Orders Payable to Mike Jordan
- ******************* Required for Charge Card Orders **************************
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- Card Number:________________________________ Expiration:_____________
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- Signature:__________________________________
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- NAME OF GAME VERSION PRICE AMOUNT
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- 1. Peg-Jump 1.6 $10.00 $________
- 2. Booby Trap 4.2 IBBS $20.00 $________
- 3. Knight's Move 1.6 $15.00 $________
- 4. Hot-Dice 2.2 IBBS $15.00 $________
- 5. Chuck-A-Luck 1.3 $15.00 $________
- 6. Tri-Bingo 3.2 IBBS $20.00 $________
- 7. Poker Bandit 2.0 $15.00 $________
- 8. Video Bandit 2.2 IBBS $15.00 $________
- 9. Jewel Thief 2.4 IBBS $20.00 $________
- ** All Nine Games at same time: $100.00 $________
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- Total $________
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- Deduct 12% for 2 - 8 games registered. TOTAL - 12% $________
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- Mail Your Check, Money Order, COD Order Information And This Form To:
- Mike Jordan
- 2001 NE Hyde St.
- Hillsboro, OR. 97124
- Voice Orders and Support: (503) 693-7068
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- Thank You - Orders Are Processed Promptly
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