Divinity Order Form

Mail this completed form with payment to:				                     Fantasoft, LLC
																																																																																				                     P.O. Box 14261
Call us at:  (608) 222-8468	to order by phone   							Madison, WI 53714-0261
Fax this form to us at:  (608) 222-8468										USA

Last Name                                                                             First Name                                            

Address                                                                                                                         Apt#             

                                                                                                                                                           

City                                            State                 Zip/Post Code                     Country                       

Phone Number:                                       E-Mail Address:                                                                  
 

I AM a registered owner of Realmz already.
I would like to order:
Divinity.........................................................Yes____$45

I am NOT a registered owner of Realmz already.
I would like to order:
Divinity (Includes Realmz & City of Bywater Scenario)............Yes____$65


I would like to register additional scenarios for Realmz:
"Assault On Giant Mountain" scenario.............................Yes____$13
"Prelude To Pestilence" scenario.................................Yes____$13
"Castle In The Clouds" scenario..................................Yes____$13
"Destroy The Necronomicon" scenario..............................Yes____$13
"White Dragon" scenario..........................................Yes____$13
"Griloch's Revenge" scenario.....................................Yes____$13
"Trouble in the Sword Lands" scenario............................Yes____$13


*Foreign orders add $3 for shipping and handling.     Total Due = $