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  1.                     ****** GALAXY TREK ORDER FORM *****
  2.  
  3. Tac Enterprises                                  Voice Orders: (206) 868-6150
  4. 422 210th Ave NE                                   BBS Orders: (206) 868-6350
  5. Redmond, WA  98053                                 FAX Orders: (206) 868-1265
  6.  
  7.              When you register Galaxy Trek, you will receive:
  8.  
  9.                             18 brand new missions
  10.                      Many new and different alien craft
  11.                              New musical scores
  12.                               New sound effects
  13.                     A 50 page printed manual, including:
  14.                    Background information on Dr. Rovinski
  15.               Specificiations of the X10A Galaxy Class Starship
  16.           ** Tips and Techniques to help you in your adventures **
  17.                  Further entries from Dr. Vladimir Rovinski
  18.                          Plus many other surprises!
  19.  
  20. Qty of  ______   Galaxy Trek - Retail @ $30.00 per copy             _________
  21.  
  22.                  Shipping and handling                                   4.00
  23.                  (international, add $2.00)                           _______
  24.  
  25.                  Washington residents MUST add 8.2% tax               _______
  26.  
  27.                  Total enclosed                                  $___________
  28.  
  29. All disks are high density.
  30. Please indicate disk size:    [    ] 5.25         [    ] 3.5
  31.  
  32.  
  33.             Name: ___________________________________________________________
  34.  
  35.          Address: ___________________________________________________________
  36.  
  37. City, State, Zip: ___________________________________________________________
  38.  
  39.          Country: ___________________________________________________________
  40.  
  41.            Phone: ___________________________________________________________
  42.  
  43.   Payment method:     [   ] Check/Money Order     [    ] Visa/Mastercard
  44.  
  45.           Card #:  __________________________________________________________
  46.  
  47.  Expiration date:  __________________________________________________________
  48.  
  49.        Signature:  __________________________________________________________
  50.  
  51.       Comments or
  52.      suggestions: ___________________________________________________________
  53.  
  54.                   ___________________________________________________________