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Text File  |  1997-06-26  |  6KB  |  121 lines

  1. ===============================[ ORDER FORM ]=================================
  2. LOMAX Software                           questions or comments :
  3. Kettelerstr.27                           +49 (0) 5973 / 5724
  4. 48485 Neuenkirchen                       Lomaxsoft@aol.com
  5. Germany                                  100625.1745@compuserve.com
  6.                                          http://www.lomaxsoft.simplenet.com/
  7. ==============================================================================
  8.  
  9.  
  10. 1.  Please mark the games you want to register and be sure to fill in all
  11.     required information.
  12.  
  13.   ---------------------------------------------------------------------------
  14.   | TITLE                                               | QNT | US$ | Total |
  15.   ---------------------------------------------------------------------------
  16.   | Terroid                                             |     |29.95|       |
  17.   ---------------------------------------------------------------------------
  18.   | FAROCAR (Windows)                                   |     |19.95|       |
  19.   ---------------------------------------------------------------------------
  20.   | Lomax ColTris                                       |     |24.95|       |
  21.   ---------------------------------------------------------------------------
  22.   | Lomax Boulders                                      |     |29.95|       |
  23.   ---------------------------------------------------------------------------
  24.   | StoneBreaker                                        |     |24.95|       |
  25.   ---------------------------------------------------------------------------
  26.   | Hidden Fields                                       |     |29.95|       |
  27.   ---------------------------------------------------------------------------
  28.   | Magics                                              |     |14.00|       |
  29.   ---------------------------------------------------------------------------
  30.   | Mega Collection: StoneBreaker,                      |     |49.95|       |
  31.   | Hidden Fields and Magics                            |     |     |       |
  32.   ---------------------------------------------------------------------------
  33.   | Terroid          (SHAREWAREVERSION)                 |     | 4.00|       |
  34.   ---------------------------------------------------------------------------
  35.   | FAROCAR          (SHAREWAREVERSION)                 |     | 4.00|       |
  36.   ---------------------------------------------------------------------------
  37.   | Lomax ColTris    (SHAREWAREVERSION)                 |     | 4.00|       |
  38.   ---------------------------------------------------------------------------
  39.   | Lomax Boulders   (SHAREWAREVERSION)                 |     | 4.00|       |
  40.   ---------------------------------------------------------------------------
  41.   | StoneBreaker     (SHAREWAREVERSION)                 |     | 4.00|       |
  42.   ---------------------------------------------------------------------------
  43.   | Hidden Fields    (SHAREWAREVERSION)                 |     | 4.00|       |
  44.   ---------------------------------------------------------------------------
  45.   | Magics           (SHAREWAREVERSION)                 |     | 4.00|       |
  46.   ---------------------------------------------------------------------------
  47.   | Shipping and Handling                               |  1  | 4.00|  4.00 |
  48.   ---------------------------------------------------------------------------
  49.   | If ordering from outside Europe add extra           |     | 2.00|       |
  50.   ---------------------------------------------------------------------------
  51.   | Foreign Bank Transaction Fee (if you send no US$) 1*|     | 2.00|       |
  52.   ---------------------------------------------------------------------------
  53.                                                         |   Total:  |       |
  54.                                                         ---------------------
  55.  
  56. 1* Only choose this if you send another currency than US dollars. You can
  57.    also send us the equivalent total of money in your country's currency,
  58.    but then you must choose this and pay 2.00 dollars extra.
  59.  
  60.  
  61.  
  62. 2. Please take the time to tell us how you got your shareware copy of 
  63.    Terroid:
  64.  
  65. [ ] America Online 
  66. [ ] CompuServe (Name of forum): ____________________________________________
  67. [ ] Friend
  68. [ ] PsL
  69. [ ] Local BBS (Name & #): __________________________________________________
  70. [ ] Catalog (Name): ________________________________________________________
  71. [ ] CD (Name): _____________________________________________________________
  72. [ ] Other (Please specify): ________________________________________________
  73.  
  74. 3. Is this your first order with LOMAX Software:  
  75.   
  76. [ ] Yes                  [ ] No
  77.  
  78. 4. Please choose disk size:  
  79.  
  80. [ ]   5 1/4   1.2MB      [ ]   3 1/2   1.4MB
  81.  
  82. 5. Please choose payment type:      
  83.  
  84. [ ] Check                [ ] Money Order
  85.  
  86. 6. Please ship my order to:
  87.  
  88.        First Name: _________________________________________
  89.         
  90.         Last Name: _________________________________________
  91.         
  92.           Address: _________________________________________
  93.         
  94.              City: _________________________________________
  95.         
  96.   Zip/Postal Code: _________________________________________
  97.    
  98.             State: _________________________________________
  99.         
  100.           Country: _________________________________________
  101.         
  102.           Phone #: (___________)____________________________
  103.  
  104.  
  105.         Signature: _________________________________________
  106.  
  107. ALL ORDERS SHIPPED WITHIN 48 HOURS.
  108. THANKS FOR ORDERING.
  109.  
  110. =============================================================================
  111. If you are ordering from North America, you may also order from 
  112. PsL (CREDIT CARD ORDERING ONLY). Please check DEALERS.EXE for details. 
  113.  
  114. CompuServe members WORLDWIDE may also order their registered copy of 
  115. Terroid through the shareware registration service (GO SWREG).
  116. Please check DEALERS.EXE for details. 
  117.  
  118. Thank you!
  119. =============================================================================
  120.  
  121.