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/ Amiga Plus 1995 #5 & #6 / Amiga Plus CD - 1995 - No. 5 and 6.iso / pd / spiele / demofob / orderfrm.txt < prev    next >
Text File  |  1995-08-14  |  2KB  |  59 lines
  1.                      F I E L D S    O F    B A T T L E
  2.  
  3.  
  4. I would like to order  ____  licenses of Fields of Battle
  5. _____________________________________________________________________________
  6.  
  7. My computer is a
  8.  
  9.     [ ] PC                           [ ] AMIGA with HD floppy drive
  10.  
  11.                                      [ ] AMIGA with DD floppy drive
  12. _____________________________________________________________________________
  13.  
  14. Payment:
  15.  
  16.     [ ] Cash
  17.  
  18.     [ ] Check - made payable to Bevelstone Production I/S
  19.                                 DK-8000  rhus C
  20.                                 DENMARK
  21.  
  22.     [ ] Transferred to our account with reference:     ______________________
  23.  
  24. _____________________________________________________________________________
  25.  
  26.  
  27.  
  28. Name:      ______________________________________________________
  29.  
  30.  
  31. Address:   ______________________________________________________
  32.  
  33.  
  34.            ______________________________________________________
  35.  
  36.  
  37.            ______________________________________________________
  38.  
  39.  
  40.            ______________________________________________________
  41.  
  42.  
  43. Country:   ______________________________________________________
  44.  
  45.  
  46. Telephone: _____________________ ,    Fax: ______________________
  47.  
  48.  
  49. e-mail:    ______________________________________________________
  50.  
  51.  
  52. _____________________________________________________________________________
  53. Send to:
  54.   Bevelstone Production I/S
  55.   Poste Restante
  56.   Banegaardspladsen 1A
  57.   DK-8000  Aarhus C
  58.   Denmark
  59.