home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
ERiC KRoLL - Fetish
/
ERiC KRoLL - Fetish.iso
/
mac
/
ORD_FORM.TXT
< prev
next >
Wrap
Text File
|
1995-12-08
|
2KB
|
63 lines
Complete this form to order additional Edge Interactive Publishing, Inc.
disks by mail.
Name_________________________________________________
Address________________________________________________
City __________________ State __________________ Zip __________
Telephone (optional; helps track order problems)________________
E-mail________________________________
Computer type and CD-ROM drive speed_________________________
I,_______________,(print name) certify that I am over 21 years of age.
Signature:___________________________
__ YES, send me announcements of upcoming Edge Interactive
Publishing, Inc.products. I understand there is no purchase required.
__ YES, please send me additional Edge Interactive Publishing, Inc.
products. I have certified that I am over 21 years of age.
Description Quantity Amount Each Subtototal
Eric Kroll:FETISH ________ $49.95 __________
Kim Fielding:SHOCK
TACTICS ________ $49.95 __________
Pauliina Raitosola:
PHO-TOY ________ $49.95 __________
Steve Bonge:
TATTOO ________ $49.95 __________
Subtotal................................................_________
NY Residents add 8.25% sales tax.........................________
Shipping and handling....................................$5.00
Total....................................................._______
PAYMENT INFORMATION
__ Payment by check or money order made out to:
Edge Interactive Publishing, Inc. is enclosed.
__ Please charge my __ MC __VISA
Card Number:_________________________________Exp._______
Signature_______________________________________________
Mail Order Form (and check) to:
Edge Interactive Publishing, Inc.
P.O. Box 20029
Columbus Circle Station
New York, NY 10023-1482