home *** CD-ROM | disk | FTP | other *** search
/ Jumbo 2,500 Game Pack / DDVDAV937D1.iso / sharewarefin / CRAPMINI.ZIP / ORDER.FRM < prev    next >
Text File  |  1996-03-24  |  3KB  |  93 lines
  1.          =====================================================
  2.                             IGS ORDER FORM 
  3.          =====================================================
  4.             YES, I'd like to receive registered version of
  5.                      Mini CASINO PLANNER for Craps!
  6.  
  7.                  CALL 1-800-KEY-2-WIN (1-800-539-2-946)                             
  8.                     1-407-826-4817 (Customer Service)
  9.  
  10.                  return completed form via mail or e-mail
  11.  
  12.  
  13.        NAME:_____________________________________________________
  14.  
  15.     ADDRESS:_____________________________________________________
  16.  
  17.             _____________________________________________________
  18.  
  19.        CITY:________________________ STATE/PROV:_________________ 
  20.  
  21.    ZIP CODE:____________________ PHONE:__________________________
  22.  
  23.                              COUNTRY (if not USA):_______________
  24.                                                    
  25.  
  26.                    _____ copy(s) @ $59.95 per copy
  27.  
  28.          or special price $29.95 until Nov 30.1995: _______ 
  29.  
  30.                          FREE video (VHS) per copy:  $0.00
  31.  
  32.             shipping/handling** add $4.95 per copy: _______
  33.  
  34.                 Florida residents add 6% sales tax: _______
  35.  
  36.                                   >> TOTAL PAYMENT: _______
  37.  
  38. ** shipping/handling outside U.S. is $10 per copy
  39. Note: Payment must be made in U.S. dollars.
  40.  
  41.  
  42. DISK SIZE:   3.5" 1.44M
  43.  
  44. PAYMENT TYPE: ( )Check  ( )Money Order  ( )Visa  ( )MasterCard            
  45.  
  46. CREDIT CARD NUMBER_______________________________________________
  47.  
  48. EXPIRATION DATE:_____/_____   SIGNATURE:_________________________
  49.  
  50. NAME ON CREDIT CARD (if different from above):___________________
  51.  
  52. Note: Postal payment must be made by check or money order.
  53.       Please do not send cash!
  54.       Make checks payable to "International Gambling Software".
  55.  
  56.  
  57. Mail payment and form to:              
  58.  International Gambling Software, Inc. 
  59.  12319 S. OBT, Ste 261                 
  60.  Orlando, FL 32837                    
  61.        or
  62. Mastercard & Visa orders CALL:
  63.  voice: 1-800-KEY-2-WIN
  64.  voice: 1-407-826-4817
  65.  e-mail: Key2Win@AOL.com
  66.  
  67. Where did you get CASINO PLANNER mini from?
  68.  
  69. [ ] Downloaded from a BBS: BBS Name_________________________
  70. [ ] Software Catalog:      Vendor Name:_____________________
  71. [ ] Shareware Catalog:     Vendor Name:_____________________
  72. [ ] Retail Rack:           Vendor Name:_____________________ 
  73. [ ] Ordered mini from IGS
  74. [ ] A friend gave it to me  
  75. [ ] Other____________________
  76.  
  77. Your age is? ________________
  78.  
  79. Your comments are essential to IGS to continue providing the 
  80. finest quality Gambling software on the market today and in 
  81. the future:
  82.  
  83. ____________________________________________________________
  84.  
  85. ____________________________________________________________
  86.  
  87. ____________________________________________________________
  88.  
  89.                   The Fundamental Five: 
  90.          "Don't play at the casino without it!"
  91.  
  92. Thank you!
  93.