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Text File  |  1999-03-09  |  3KB  |  55 lines

  1. Realmz Registration / Order Form
  2.  
  3. Mail this completed form with payment to:
  4.  
  5. Fantasoft, LLC
  6. P.O. Box 14261
  7. Madison, WI 53714-0261
  8. USA
  9.  
  10. To order by phone, call us at (608) 222-8468.
  11. To order by Fax call (608) 222-8468
  12. To order by E-Mail, send the information below to:  Fantasoft1@aol.com
  13. Visit our website at:  http://www.fantasoft.com
  14.  
  15. SERIAL NUMBER OF YOUR COPY OF REALMZ                                          Version                 
  16. To find the serial number and version of your copy, select "About Realmz" under the Apple menu.  The serial number and version will be displayed to the right of the yellow spider.
  17.  
  18. Last Name                                                                             First Name                                 
  19.  
  20. Address                                                                                                              Apt#             
  21.  
  22.                                                                                                                                                 
  23.  
  24. City                                                   State                   Zip                   Country                       
  25.  
  26. E-Mail Address:                                                           Phone:                                                   
  27.  
  28. I would like to register:
  29. "Realmz" scenario driver and "City Of Bywater" scenario...............Yes____$20
  30. "Assault On Giant Mountain" scenario..................................Yes____$13
  31. "Prelude To Pestilence" scenario......................................Yes____$13
  32. "Castle In The Clouds" scenario.......................................Yes____$13
  33. "Destroy The Necronomicon" scenario...................................Yes____$13
  34. "White Dragon" scenario...............................................Yes____$13
  35. "Griloch's Revenge" scenario..........................................Yes____$13
  36. "Trouble in the Sword Lands" scenario.................................Yes____$13
  37. _____________________________________________________________________
  38. I Would like to order by mail:
  39. ◊ "Realmz Character Editor" on Disk..................................Yes____$10
  40. ◊ "Divinity-Scenario Creator for Realmz, Includes Character Editor"..Yes____$45
  41. ◊ Shareware versions for ALL Fantasoft games on CD-ROM...............Yes____$6
  42.  
  43. *Foreign orders add $3 if ordering items with a ◊ in front of them or if paying by
  44.   personal check drawn on an overseas bank.
  45.                                                                                                                                                                                      Total Due = $           
  46.  
  47.  
  48. Method of Payment:        [  ]  Cash - Check - Money Order
  49.                                                                    [  ] Visa / Mastercard / American Express / Discover
  50.  
  51. ___________________________________________________________________
  52. Account Number                                                                                                                                                Expiration Date
  53.  
  54. ___________________________________________________________________
  55. Name exactly as it appears on the credit card