home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
The Best of Select: Games 9
/
CD_1.iso
/
dosgames
/
cumbat
/
order.frm
< prev
next >
Wrap
Text File
|
1994-11-30
|
2KB
|
58 lines
===================
CoreSoft Order Form
===================
Name:__________________________________________________________
Address:__________________________________________________________
City:_________________________ State/Prov:_____ ZIP:________
Country:_________________________ Phone:____________________
MEDIA: [ ] 3.5" 1.44M [ ] 5.25" 1.2M [ ] 3.5" 720K
PAYMENT: [ ] Check/Money Order (US Funds, Payable to "CoreSoft")
[ ] COD (US Only, additional charges apply - see below)
[ ] VISA/MasterCard
Card # ____________________________
Expiration Date _____ / ______
Signature ____________________________
CHARGES: IMMORAL CUMBAT $ 15.69
Shipping ($3.95 - USA, $8.95 COD) $ ______.__
($7.95 - International)
Tax (KS residents only, $1.16 = 5.9%) $ ______.__
________________________________________
TOTAL $ ______.__
I certify that I am at least 18 years of age and am knowingly
purchasing material of an adult nature.
SIGNATURE REQUIRED: _________________________________________
Where did you get the shareware version (please include the
phone # of BBS's)? _________________________________________
_____________________________________________________________
_____________________________________________________________
=============================================================
Mail to: CoreSoft Ordering: (800) 391-7582
1004 2nd Avenue (913) 651-3201
Leavenworth, KS 66048 Tech Sprt: (913) 651-3201
=============================================================