home *** CD-ROM | disk | FTP | other *** search
/ Best of Mega Games for DOS / MEGA.iso / fatalch / order.frm < prev    next >
Encoding:
Text File  |  1992-01-30  |  1.5 KB  |  59 lines
  1.  
  2.  
  3.  
  4.                  Order Form for Registration of FATAL CHALLENGE
  5.  
  6.  
  7.  
  8.           Name:  _______________________________________________________
  9.  
  10.        Address:  _______________________________________________________
  11.  
  12.           City:  _______________________________________________________
  13.  
  14.          State:  __________________________
  15.  
  16.       Zip Code:  __________________________
  17.  
  18.  
  19.   Phone Number:  (______) - ______ - ________
  20.  
  21.  
  22. What are you ordering:
  23.  
  24.               ________
  25.              |Quantity________| $15. For each copy of
  26.              |        |      FATAL CHALLENGE.
  27.              |        |
  28.              |________|
  29.  
  30.  
  31.  
  32.           Total Enclosed: $__________   (Make checks and money orders
  33.                                          payable to "Richard Khoo")
  34.  
  35.  
  36.  
  37.           Disk Type:
  38.  
  39.           [  ]  3.5 disk (720k)    [  ] two 5.25 disks (360k)
  40.  
  41.  
  42. Optional Questions:
  43.  
  44. Where did you get this copy of the FATAL CHALLENGE demo?
  45.  
  46. ______________________________________________________________________________
  47.  
  48.  
  49. Do you like this program or what could I change so that you would like it
  50. better?  (Comments/Suggestions)
  51.  
  52. ______________________________________________________________________________
  53.  
  54. ______________________________________________________________________________
  55.  
  56. ______________________________________________________________________________
  57.  
  58. ______________________________________________________________________________
  59.