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- ------------------------------------------------------------------------------
- ============================== ORDER FORM ==================================
- ------------------------------------------------------------------------------
-
- PsychoSoft Ent.
- 3992-B Bow Rd.
- Victoria, BC
- V8N 3B1 CANADA
-
- ==============================================================================
-
- Please print and fill out this form (or write a similar form by hand) and mail
- it to the above address with your money order or check; OR, see below for
- credit card orders.
-
-
- AZALTA PACKAGES
-
- [ ] Azalta Traveller..........................................($15) __________
-
- [ ] Azalta Creator (create your own games!)...................($30) __________
-
- [ ] Azalta Source (includes all 'C' source)...................($50) __________
-
-
- Canada/USA Shipping & Handling (International add $2 extra)......... __$4.00___
-
- Total enclosed __________
-
- Version: [ ] MS-DOS
- [ ] Amiga
-
- Disk type: [ ] 3.5" High Density
- [ ] 3.5" Low Density
- [ ] 5.25" High Density
-
-
- Name: _______________________________________________________________
-
- Address: _______________________________________________________________
-
- City, ST, Zip: _______________________________________________________________
-
- Country: ____________________ Phone (optional): _______________________
-
- E-Mail: _______________________________________________________________
-
-
- Credit card orders are preferred (see below), and will allow us to deliver
- the product to you much faster. Otherwise, postal money orders are the next
- best form of payment. Checks for an equal amount of money in Canadian funds
- drawn on a Canadian bank are fine -- but if you must send a check drawn on
- another bank, be warned that these will take extra processing time.
-
- All prices listed are in U.S. dollars. Make money orders and checks payable
- to "PsychoSoft Ent.". Allow up to 6-8 weeks for processing and delivery.
-
- Thank you for ordering from PsychoSoft. We appreciate your business.
-
- Survey Question:
- Where did you get this game? _________________________________________________
-
-
- CREDIT CARD ORDERS
- ------------------------------------------------------------------------------
- For your convenience we have contracted NorthStar Solutions to process any
- orders that you wish to place with your valid Visa or Mastercard. They may be
- contacted (for orders ONLY) via any of the following methods:
-
- Voice: 1-800-699-6395 - 10:00 a.m. - 10:00 p.m., Eastern Standard Time.
- (Calls from the U.S. only.)
-
- 1-803-699-6395 - 10:00 a.m. - 10:00 p.m., Eastern Standard Time.
-
-
- FAX: 1-803-699-5465 - 24 hours. International orders encouraged.
-
-
- E-MAIL: America Online: STARMAIL
- CompuServe: 71561.2751
- Internet: STARMAIL@AOL.COM
-
- Regardless of how you order, please have the following information ready:
-
- 1. The program and version number (Azalta, version 1) you are registering,
- 2. Which Azalta package you want (Traveller, Creator, or Source),
- 3. Your computer system type (MS-DOS or Amiga),
- 4. Where the latest version should be mailed,
- 5. Your Visa or MasterCard # and its expiration date,
- 6. Your drive type (3.5" hi-density or low-density, or 5.25" hi-density).
-
- IMPORTANT: NorthStar processes registrations only -- please contact the author
- for any product support. E-Mailed and FAXed registrations are encouraged, but
- all registrations are very much appreciated!
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-