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- !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
- ATTENTION: THIS IS THE ORDER FORM FOR RESIDENTS OF EUROPE! IF YOU ARE ORDERING
- FROM OUTSIDE EUROPE, YOU CAN ALSO USE THIS SHEET AS LONG AS YOU ARE NO
- RESIDENT OF NORTH AMERICA. IN NORTH AMERICA WE HAVE A SPECIAL DISTRIBUTION
- AGREEMENT WITH OSP ENR.. SO, IF YOU ARE ORDERING FROM NORTH AMERICA, PLEASE
- CONTACT: OSP Enr. ■ 132, MARCHILDON ■ AMOS, QUEBEC ■ CANADA J9T 4G5
- !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
- ===============================[ ORDER FORM ]=================================
- Lomax Software Productions questions or comments :
- Kettelerstr.27 (+49) 05973 / 5724
- 48485 Neuenkirchen
- Germany
- ==============================================================================
-
-
- 1. Please mark the games you want to register and be sure to fill in all
- required information.
-
- ---------------------------------------------------------------------------
- | TITLE | QNT | US$ | Total |
- ---------------------------------------------------------------------------
- | StoneBreaker | |19.95| |
- ---------------------------------------------------------------------------
- | Hidden Fields | |29.95| |
- ---------------------------------------------------------------------------
- | Magics | |14.00| |
- ---------------------------------------------------------------------------
- | Mega Collection: StoneBreaker, | |49.95| |
- | Hidden Fields and Magics | | | |
- ---------------------------------------------------------------------------
- | StoneBreaker (SHAREWAREVERSION) | | 4.00| |
- ---------------------------------------------------------------------------
- | Hidden Fields (SHAREWAREVERSION) | | 4.00| |
- ---------------------------------------------------------------------------
- | Magics (SHAREWAREVERSION) | | 4.00| |
- ---------------------------------------------------------------------------
- | Shipping and Handling | 1 | 4.00| 4.00 |
- ---------------------------------------------------------------------------
- | If ordering from outside Europe add extra | | 2.00| |
- ---------------------------------------------------------------------------
- | Foreign Bank Transaction Fee (if you send no US$) 1*| | 2.00| |
- ---------------------------------------------------------------------------
- | Total: | |
- ---------------------
-
- 1* Only choose this if you send another currency than US dollars. You can
- also send us the equivalent total of money in your country's currency,
- but then you must choose this and pay 2.00 dollars extra.
-
-
-
- 2. Please take the time to tell us how you got your shareware copy of
- Hidden Fields:
-
- [ ] America Online [ ] CompuServe [ ] Prodigy
- [ ] ZiffNet [ ] Software Creations [ ] Friend
- [ ] Local BBS (Name & #): __________________________________________________
- [ ] Catalog (Name): ________________________________________________________
- [ ] CD (Name): _____________________________________________________________
- [ ] Other (Please specify): ________________________________________________
-
- 3. Is this your first order with Lomax Software:
-
- [ ] Yes [ ] No
-
- 4. Please choose disk size:
-
- [ ] 5 1/4 1.2MB [ ] 3 1/2 1.4MB
-
- 5. Please choose payment type:
-
- [ ] Check [ ] Money Order
-
- 6. Please ship my order to:
-
- First Name: _________________________________________
-
- Last Name: _________________________________________
-
- Address: _________________________________________
-
- City: _________________________________________
-
- Zip/Postal Code: _________________________________________
-
- State: _________________________________________
-
- Country: _________________________________________
-
- Phone #: (___________)____________________________
-
-
- Signature: _________________________________________
-
- IF YOU CHOOSE THE PAYMENT TYPE "MONEY ORDER", PLEASE ONLY SEND NOTES.
- MAKE CHECKS PAYABLE TO "LOMAX SOFTWARE".
- ALL ORDERS SHIPPED WITHIN 24 HOURS.
- THANKS FOR ORDERING.
- ******************************************************************************
- ATTENTION: DO NOT WRITE IN THIS SECTION (FOR OFFICE USE ONLY)
-
- Date received: ____/____/____ Date shipped : ____/____/____
- ******************************************************************************
-
-
-