home *** CD-ROM | disk | FTP | other *** search
/ Zero G Pinball / Zero G Pinball.iso / pinball1 / order.frm < prev    next >
Text File  |  1996-11-01  |  1KB  |  37 lines

  1.                    MicroLeague's Silverball Order Form
  2.  
  3. NAME ___________________________________________________
  4.  
  5.  
  6. ADDRESS_________________________________________________
  7.  
  8.  
  9. CITY__________________________  STATE___________________ ZIP_____________
  10.  
  11.  
  12. PHONE____________________________(H) ______________________________(W)
  13.  
  14. I would like to order ______ copies of MicroLeague's Silverball for only 
  15. $49.95 (plus $4.00 S&H).  With my order I understand a fith table, NOVA,
  16. is mine FREE.
  17.  
  18. Method of Payment:
  19.  
  20. [] VISA         [] Master Card          [] Check Enclosed
  21.  
  22. Card # __________________________________       Exp. Date ________________
  23.  
  24. Signature _______________________________
  25.  
  26.  
  27. Mail your order to:
  28.  
  29.                         MicroLeague Interactive Software
  30.                                   U.O.P.
  31.                            201 Bellevue Building
  32.                              Newark, DE  19702
  33.  
  34.             For Faster Service order by phone at 1-800-334-6572.
  35.  
  36.  
  37.