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Text File  |  1993-06-05  |  3KB  |  61 lines
  1.                              STRIP POKER ORDER FORM
  2.                              ----------------------
  3.  
  4. Note:  This program requires an IBM PC or compatible with a VGA monitor or
  5.        better and runs in 320x200x256 graphics mode under PC-DOS.  This program
  6.        is for entertainment purposes only.  If any bugs are detected, please
  7.        report them to the address below or to CompuServe ID [72230,306].
  8.  
  9. TO:                          FROM:
  10.  
  11. Haynes Software                 Name: __________________________________________
  12. 1835 Newport Blvd.
  13. Suite G182 #247            (Company): __________________________________________
  14. Costa Mesa, CA  92627  USA
  15.                              Address: __________________________________________
  16.  
  17.                     City, State, Zip: __________________________________________
  18.  
  19.                            (Country): __________________________________________
  20.  
  21.  
  22.  
  23. OPPONENT                                            QTY   PRICE/COPY       TOTAL
  24. -------------------------------------------------   ---   ----------   ---------
  25.  
  26. Carolyn .........................................   ___  x US$ 20.00   US$ _____
  27.  
  28. Strip Poker Program .............................    1          FREE        0.00
  29.  
  30.                                                           Sub-Total:   US$ _____
  31.  
  32.                            California residents add 7.75% sales tax:       _____
  33.  
  34.                      Postal within US & Canada:   3.00 --------\
  35. Shipping & Handling:                                            --->       _____
  36.                      Postal outside US & Canada:  6.00 --------/
  37.  
  38.                                                      Total Enclosed:   US$ _____
  39.  
  40. Please make check or money order payable in US dollars and drawn on a US bank to
  41. "Haynes Software" and sign the following:
  42.  
  43. Because this program includes pictures with nudity, I certify that I am of legal
  44. age in the state that I live so as to be able to purchase this program with its
  45. adult content.  (Orders will not be shipped without signature!)
  46.  
  47. Signature: _____________________________________________________________________
  48.  
  49.  
  50. Please specify your desired disk size:  3 1/2" _____   5 1/4" _____
  51.  
  52.  
  53. _____  Check here if you would like to receive information on future opponents
  54.        as they become available.
  55.  
  56. _____  Check here if you would be interested in male opponents in the future.
  57.  
  58. _____  Check here if you would be interested in a 640x480x256 version of Strip
  59.        Poker in the future.
  60.  
  61.