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Speelhal Klassiekers - Hits des Salles de Jeux
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TERROID
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FOREIGN.FRM
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Text File
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1997-06-26
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6KB
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121 lines
===============================[ ORDER FORM ]=================================
LOMAX Software questions or comments :
Kettelerstr.27 +49 (0) 5973 / 5724
48485 Neuenkirchen Lomaxsoft@aol.com
Germany 100625.1745@compuserve.com
http://www.lomaxsoft.simplenet.com/
==============================================================================
1. Please mark the games you want to register and be sure to fill in all
required information.
---------------------------------------------------------------------------
| TITLE | QNT | US$ | Total |
---------------------------------------------------------------------------
| Terroid | |29.95| |
---------------------------------------------------------------------------
| FAROCAR (Windows) | |19.95| |
---------------------------------------------------------------------------
| Lomax ColTris | |24.95| |
---------------------------------------------------------------------------
| Lomax Boulders | |29.95| |
---------------------------------------------------------------------------
| StoneBreaker | |24.95| |
---------------------------------------------------------------------------
| Hidden Fields | |29.95| |
---------------------------------------------------------------------------
| Magics | |14.00| |
---------------------------------------------------------------------------
| Mega Collection: StoneBreaker, | |49.95| |
| Hidden Fields and Magics | | | |
---------------------------------------------------------------------------
| Terroid (SHAREWAREVERSION) | | 4.00| |
---------------------------------------------------------------------------
| FAROCAR (SHAREWAREVERSION) | | 4.00| |
---------------------------------------------------------------------------
| Lomax ColTris (SHAREWAREVERSION) | | 4.00| |
---------------------------------------------------------------------------
| Lomax Boulders (SHAREWAREVERSION) | | 4.00| |
---------------------------------------------------------------------------
| 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
Terroid:
[ ] America Online
[ ] CompuServe (Name of forum): ____________________________________________
[ ] Friend
[ ] PsL
[ ] 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: _________________________________________
ALL ORDERS SHIPPED WITHIN 48 HOURS.
THANKS FOR ORDERING.
=============================================================================
If you are ordering from North America, you may also order from
PsL (CREDIT CARD ORDERING ONLY). Please check DEALERS.EXE for details.
CompuServe members WORLDWIDE may also order their registered copy of
Terroid through the shareware registration service (GO SWREG).
Please check DEALERS.EXE for details.
Thank you!
=============================================================================