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/ Software USA 5 #5 / Software USA Volume 5.05.iso / mac / Children / Bugs Bannis / Fantasoft.sea / Squish™ 2.6.8 / Squish Order Form < prev    next >
Text File  |  1998-03-25  |  2KB  |  45 lines
  1. Squish 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. Last Name                                                                             First Name                                 
  16.  
  17. Address                                                                                                              Apt#             
  18.  
  19.                                                                                                                                                 
  20.  
  21. City                                                   State                   Zip                   Country                       
  22.  
  23. E-Mail Address:                                                           Phone:                                                   
  24.  
  25. I would like to register:
  26.  
  27. Squish..............................................................................................................Yes____$15
  28.  
  29. I would like to order software files by mail:
  30.  
  31. Latest version of all Fantasoft games (unregistered)* on CD-ROM.................Yes____$6
  32.  
  33. *Foreign orders add $3 to total due for shipping and handling if ordering Squish disks, add $2 if ordering CD-ROM. The CD-ROM version will not be available until the end of September '97.
  34.  
  35.                                                                                                                                                                                               Total Due = $_________
  36.  
  37.  
  38. Method of Payment:        [  ]  Cash - Check - Money Order
  39.                                                                    [  ] Visa / Mastercard / American Express / Discover
  40.  
  41. ___________________________________________________________________
  42. Account Number                                                                                                                                                Expiration Date
  43.  
  44. ___________________________________________________________________
  45. Name exactly as it appears on the credit card