Order Form CI Software Order Form Phone Number: (203) 861-0063 Name (Please Print) ______________________________________________________ Address ________________________________________________________________ City _________________________ State/Province __________ ZIP _______________ Country (if not USA) ____________________ Phone_____________________________ Dungeon Dwellers: $19.95 per copy x ___ copies $__________ Shipping & Handling $3.00 per copy x ___ copies $__________ CT residents must add 6% sales tax $__________ TOTAL $__________ Mail to: CI Software 44 Davenport Ave. USA Voice Order: (203) 861 - 0063 Greenwich, CT 06830 Payment Method: [ ] Check [ ] Money Order [ ] Visa [ ] MasterCard Card number: ________________________ Expiration date: _____/_____ (MM/YY) Signature: ________________________________________ *** Thank you! *** Make checks payable to "CI Software". Allow two weeks for delivery.