home *** CD-ROM | disk | FTP | other *** search
/ Cream of the Crop 12 / Cream of the Crop 12 (Part II) / Cream of the Crop 12 (Part II).iso / BBS / SHARDS14.ZIP / ORDER.DOC < prev    next >
Encoding:
Text File  |  1996-01-12  |  1.3 KB  |  36 lines
  1. ------------------------------------------------------------------------------
  2.                   Knight of the Dark Shards v1.4  Order Form
  3. ------------------------------------------------------------------------------
  4.  
  5.         Knight of the Dark Shards v1.4 .......................... $19.95 
  6.  
  7.  
  8.         Name: ________________________________________________________________
  9.  
  10.     BBS Name: ________________________________________________________________
  11.  
  12.      Address: ________________________________________________________________
  13.  
  14. City, ST Zip: ________________________________________________________________
  15.  
  16.      Country: ____________________  Phone: ___________________________________
  17.  
  18.  FIDO Adress: _________________________________________________ (if available)
  19.  
  20. EMail Adress: _________________________________________________ (if available)
  21.  
  22. Please specify how you would like me to contact you with your
  23. registration code.  Please check one of the following:
  24.  
  25.              [ ] Mail    [ ] FIDO    [ ] E-Mail
  26.  
  27. Payment by:  [ ] Check   [ ] Cash
  28.  
  29. Mail to:  Mark Davis                  
  30.           2408 169TH PLACE. SE        
  31.           BELLEVUE, WA 98008          
  32.  
  33. Make checks payable to "Mark Davis".  Allow up to two weeks for delivery.
  34.  
  35.  
  36.