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Text File  |  1995-01-10  |  1KB  |  41 lines
  1. PMFB v2.1 - 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: playmaker@aol.com
  11. Fax: 410/667-8429
  12.  
  13. FROM: 
  14.  
  15. E-Mail Address (if any):                                                         
  16.  
  17. Name:                                                                                  
  18.  
  19. Street:                                                                                
  20.  
  21. Suite/Apt. #:                                                                       
  22.  
  23. City:                                                                                   
  24.                                                                         
  25. State:                        Zip Code:                                            
  26.  
  27. Telephone #:                                                                       
  28.  
  29. Visa or M/C #:                                                                                   
  30.  
  31. Exp Date:                                  
  32.  
  33. Name on the Card:                                                                
  34.  
  35. PERSONAL ID: ______________________________________
  36. (The full game installer will provide you with a personal ID code which we need to properly register you and provide you with the correct authorization keycode.)
  37.  
  38. FOR:
  39.  
  40. $20.00 U.S.
  41. PlayMaker Football™ v.2.1