Electron Hut
P.O. Box 127
Santa Clara, CA 95052-0127
Description | Quantity | $ each | Total |
---|---|---|---|
Klondike Solitaire for Palm | $12.00 | ||
FreeCell Solitaire for Palm | $12.00 | ||
Sokoban for Palm | $12.00 | ||
Vegas Slots for Palm | $12.00 | ||
Total: |
**** PLEASE PRINT CLEARLY ***** PLEASE PRINT CLEARLY ***
If we cannot read your handwriting, we will not process your order
and may not be able to reach you if your email address is not legible.
User Information:
Email address: ___________________________________
Palm Username: ________________________________
To find your Palm username, run any of our games and from the opening screen, click the 'Unlock' button. Your username will be displayed. Please double check that you have written it correctly on this form or the serial number we send you will not work.
Payment method:
( ) Check enclosed. NOTE: Checks MUST be US funds, drawn on a US bank.
or
( ) Credit card (Visa, MasterCard, American Express)
Number: ________________________ Expiration Date: ________________________ Name on Card: ________________________ Signature: ________________________ Billing address: (required) Address: ________________________ ________________________ City: ________________________ State: ________________________ Zip: ________________________ (optional) Phone: ________________________