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  1.                         Axe Productions Order Form
  2.  
  3. If you wish to order by credit card and/or order online from 
  4. the world wide web, please contact the S-Factory at:
  5.     The S Factory Inc
  6.     P.O. Box 18381
  7.     Minneapolis,MN 55418
  8.     phone:(612)805-4319
  9.     HTTP://www.sfactory.com
  10.  
  11. Otherwise, feel free to fill out this form and mail it to the 
  12. address located at the bottom of the form.
  13.  
  14. I would like to order ___ copies of Joyous Rebel for $25(20 for
  15. Joyous and 5 for shipping and handling) a piece.  Make checks
  16. payable to Scott Haag.
  17.  
  18. Name:_____________________________________________________________
  19.  
  20. Address:__________________________________________________________
  21.  
  22. City,State,ZipCode:_______________________________________________
  23.  
  24. Country:__________________________________________________________
  25.  
  26. Phone Number:_____________________________________________________
  27.  
  28. The following questions are optional
  29.  
  30. Age:___________  Sex:____________  Years of Gaming:_______________
  31.  
  32. Computer Proccessor:_____________  Sound Card:____________________
  33.  
  34. Video Board:_____________________  Other Drives:__________________
  35.  
  36. Modem:___________________________  CDROM:_________________________
  37.  
  38. Comments/Suggestions:_____________________________________________
  39.  
  40. __________________________________________________________________
  41.  
  42. __________________________________________________________________
  43.  
  44. __________________________________________________________________
  45.  
  46.                     Mail To:
  47.                             Scott Haag
  48.                             317 8th Ave. SE
  49.                             Osseo, MN 55369
  50.  
  51.                     Thank You from Axe Productions!
  52.