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/ Super OZ Shareware: Games / SuperOZ Shareware, Games Volume 1.iso / arcade / AK / COBRA.ZIP / ORDER.FRM < prev   
Text File  |  1993-03-02  |  1KB  |  43 lines
  1.  
  2.                       CD-MAN Version 2.0 Order Form
  3.                       -----------------------------
  4.  
  5. Name:__________________________________
  6.  
  7. Address:_______________________________
  8.  
  9. City:__________________________________
  10.  
  11. State:_____
  12.  
  13. ZIP:_______
  14.  
  15. Phone:(____)___________________
  16.  
  17. What Size Disks do you require?
  18.  
  19. 3.5 [ ]  5.25 [ ]
  20.  
  21. Would you like a free copy of our shareware game COBRA?
  22.  
  23. Yes [ ]  No [ ]
  24.  
  25. Where did you hear about our product?
  26.  
  27. ____________________________________________________________________
  28.  
  29. ____________________________________________________________________
  30.  
  31. ____________________________________________________________________
  32.  
  33. ____________________________________________________________________
  34.  
  35. Please Send your check or money order for $32.00 ($29.00+$3.00 S&H)
  36. to:
  37.  
  38. Creative Dimensions                     Phone:(510) 484-5918
  39. 818 Main St. Ste. F                       Fax:(510) 484-3292
  40. Pleasanton, Ca.                           BBS:(510) 484-4944
  41. 94566-6648
  42.  
  43. California Customers add appropriate sales tax!