***EVOCATION APPLICATION FORM***

   Please fill out the form completely so as to avoid delays in the shipment of your game.
If possible, also indicate a fax number maybe of your office or a friend of yours.


The undersigned ______________________ wants to receive the complete version
of the "Evocation •The Final Challenge" video game at the following address:

		  		Name and Surname  ______________________________________

				     						    					Address  ______________________________________

																	                      _______   ________________________   ____
					
						     					      	Country  _______________________

 									          Telephone  _______________________   Fax  _______________________



I will pay the sum of $20, inclusive of the shipping charges, for delivery by air mail
(so as to reduce your waiting times), through

											 		 [  ] Credit Card nr.   _  _  _  _  -  _  _  _  _  -  _  _  _  _
																 				(the credit card must belong to the group VISA/MASTERCARD/EUROCARD)
					
      																 							 Expiry date     ____/____
		
																	 	 	Belonging to  ________________________________

																     Born on         ____ /____/________ 


															[  ] The sum of $20 enclosed with this Form.




Date _____________________																																						Signature _____________________



                 		 						DEDALOMEDIA SOFTWARE ENGINEERING
     VIA DON GIUSEPPE LAGO, 52 • 35013 CITTADELLA LOC. LAGHI (PD) • ITALY
           		  						     TELEPHONE +39.49.9422115 • FAX +39.49.9422099
							APPLELINK ITA0749•INTERNET ITA0784@APPLELINK.APPLE.COM