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Text File  |  1996-03-20  |  1KB  |  51 lines
  1. Missions of the Reliant II - Order Form
  2.  
  3. You can send this order form via fax, e-mail or U.S. mail.
  4.  
  5. TO:
  6.  
  7. PlayMaker, Inc.
  8. 19 Overshot Court
  9. Phoenix, MD 21131-1851
  10. Internet: orders@playmaker.com
  11. Fax: 410/667-8429
  12.  
  13. FROM: 
  14.  
  15. E-Mail Address/Screen Name:                                                
  16.  
  17.  
  18. Name:                                                                      
  19.  
  20. Street:                                                                    
  21.  
  22. Suite/Apt. #:                                                              
  23.  
  24. City/Province:                                                             
  25.                                                                         
  26. State:                                Zip/Postal Code:                     
  27.  
  28. Country:                                                                   
  29.  
  30. Telephone #:                                                               
  31.  
  32. Fax #:                                                                        
  33.  
  34.  
  35. Name on the Credit Card:                                                   
  36.  
  37. Visa or M/C #:                                                                           
  38.  
  39. Exp Date:                                                                    
  40.        
  41.  
  42. Where Installer Was Found:                                                 
  43.                                (e.g., Macintosh Bundle, America Online, BBS)
  44.  
  45. Do you own a CD-Rom Player: YES      
  46. Do you own a PowerPC:       YES      
  47.  
  48. FOR:
  49.  
  50. Missions of the Reliant II
  51. $20.00 U.S.