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Text File  |  1998-12-29  |  2KB  |  59 lines

  1.  
  2.                           NEW YEAR SLOTS REGISTRATION
  3.  
  4.           Name             ______________________________
  5.  
  6.           Company          ______________________________
  7.  
  8.           Address          ______________________________
  9.  
  10.           City/State       ______________________________
  11.  
  12.           Zip/Postal Code  ______________________________
  13.  
  14.           Country          ______________________________
  15.  
  16.           Phone            ______________________________
  17.  
  18.           EMAIL ADDRESS    ______________________________
  19.                            If you include your eMail address, we can
  20.                            send you the immediately.
  21.  
  22.      DISK SIZE:  (  ) 3-1/2"   (  ) CD-ROM
  23.  
  24.      I AM ORDERING:
  25.  
  26.         (  ) NEW YEAR SLOTS (ú14)
  27.         (  ) CHRISTMAS SLOTS (ú14)
  28.         (  ) HALLOWEEN SLOTS (ú14)
  29.     
  30.         (  ) ANY TWO SLOT GAMES (ú21)--Mark Choices Above
  31.         (  ) ALL THREE SLOT GAMES (ú24)
  32.  
  33.      POSTAGE & PACKING
  34.      -----------------
  35.      Please add ú3 for postage charges if you would like us to send the software
  36.      to you.  If you already have the software and only require the registration
  37.      code, then there is no additional P&P fee.
  38.  
  39.      Amount Enclosed: $_________
  40.  
  41.      Make your cheque or money order payable to GAMESCAPE STUDIOS.
  42.  
  43.      Mail payment and registration form to:    GAMESCAPE STUDIOS
  44.                                                Egloshayle
  45.                                                Wadebridge
  46.                                                Cornwall
  47.                                                PL27 6AX
  48.                                                UNITED KINGDOM
  49.      Payment Method:
  50.                      ___ Check   ___ Money Order   ___ VISA   ___ MasterCard
  51.  
  52.      Credit Card Number #_____ - _____ - _____ - _____   expiry ____/____
  53.  
  54.      For credit card orders:  Call 01208 816323 (Orders and Information)
  55.                                    01208 816006 (FAX)
  56.  
  57.      Order Online at:      http://www.gamescapestudios.com/order.htm
  58.  
  59.