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  1. Atari Interactive ORDER FORM AND FAX SHEET
  2. (Fax Number: 408-745-2088)
  3. (EMail: 75300.1267@compuserve.com)
  4.  
  5. Before sending/faxing/EMailing the order form below directly to Atari 
  6. Interactive, please check with your local PC Software retailer. Retailers 
  7. often offer immediate delivery, service and prices that may benefit you.
  8.  
  9.  
  10. Name (Please Print) __________________________________________________________
  11.  
  12. Address ______________________________________________________________________
  13.  
  14. Address ______________________________________________________________________
  15.  
  16. City ___________________________ State/Province __________ ZIP _______________
  17.  
  18. Country (if not USA) ____________________ Phone/Fax __________________________
  19.  
  20. EMail Address _________________________ Online Service _______________________
  21.  
  22.  
  23.         QTY     ITEM                                            PRICE
  24.  
  25.         [  ]    TEMPEST 2000(tm) PC                           $  39.95
  26.  
  27.         [  ]    Check here for information about Atari's
  28.                 64-bit Jaguar Gaming System
  29.  
  30.  
  31. Shipping & Handling charges:  $____________     (USA: $5. Other countries: $10)
  32.  
  33. California Sales Tax:         $____________     (CA residents add 7.75% tax)
  34.  
  35. Amount enclosed:              $____________
  36.  
  37.  
  38.              Mail to:  Atari Interactive
  39.                        P.O. Box 61657
  40.                        Sunnyvale, CA   94089-1657
  41.  
  42.      USA Voice Order: 1-800-GO-ATARI (1-800-462-8274) 
  43.  
  44. International Orders: Order from the vendor in your territory if noted.                      
  45.  
  46. Check your card:  [  ] Visa  [  ] MasterCard
  47.  
  48. Card number: _________________________  Expiration date:  _____/_____ (MM/YY)
  49.  
  50. Signature:   ________________________________________   *** Thank you! ***
  51.  
  52. Make checks payable to "Atari Interactive".
  53. Allow four to six weeks for delivery.
  54.  
  55.  
  56. Where did you get Tempest 2000(tm) PC DEMO?
  57.  
  58. [  ] Downloaded from a BBS: BBS:_____________________ Phone:__________________
  59.  
  60. [  ] From a Web Site: _______________________  Address:_______________________
  61.  
  62. [  ] From an Online Service: ________________________ Forum:__________________
  63.  
  64. [  ] Shareware Catalog: _____________________________ Phone: _________________
  65.  
  66. [  ] Retail Shareware Rack: __________________________________________________
  67.  
  68. [  ] A friend gave it to me
  69.  
  70. [  ] None of the above
  71.  
  72. Before sending/faxing/EMailing the order form below directly to Atari 
  73. Interactive, please check with your local PC Software retailer. Retailers 
  74. often offer immediate delivery, service and prices that may benefit you.
  75.