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Text File  |  1993-11-27  |  2KB  |  51 lines
  1. WormWorld for Windows
  2. ---------------------
  3. Advanced Version Order Sheet
  4.  
  5.     I would like to receive the advanced version of WormWorld for
  6. Windows.
  7.  
  8. Delete as applicable:-
  9.     
  10.     I am ordering from the UK and enclose ú5 UK Sterling.
  11.     I am ordering from the USA and enclose $10 U.S. / ú5 UK Sterling.
  12.     I am ordering from overseas and enclose ú5 UK Sterling. 
  13.  
  14.     Amount payable in cash (pounds sterling only), cheque, or
  15. postal order.  Please make cheques and postal orders payable to
  16. Kevin Ng.
  17.  
  18.  
  19. (BLOCK CAPITALS PLEASE)
  20.  
  21. Name          _________________________________________________________
  22.  
  23. Address       _________________________________________________________
  24.  
  25.               _________________________________________________________
  26.  
  27.           _________________________________________________________
  28.  
  29.           _________________________________________________________
  30.  
  31. Postcode/ZIP Code  _____________________
  32.  
  33. Telephone Number   _____________________
  34.  
  35. Facsimile Number   _____________________
  36.  
  37. Comments      _________________________________________________________
  38. (if any)
  39.           _________________________________________________________
  40.  
  41.               _________________________________________________________
  42.  
  43.               _________________________________________________________
  44.  
  45.               _________________________________________________________
  46.  
  47.               _________________________________________________________
  48.  
  49.               _________________________________________________________
  50.  
  51. Signature     ___________________________________