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Text File  |  1995-06-11  |  1KB  |  34 lines
  1. Order Form
  2.  
  3.                      CI Software Order Form
  4.                      Phone Number: (203) 861-0063
  5.  
  6. Name (Please Print) ______________________________________________________
  7.  
  8. Address ________________________________________________________________
  9.  
  10. City _________________________ State/Province __________ ZIP _______________
  11.  
  12. Country (if not USA) ____________________ Phone_____________________________
  13.  
  14.  
  15. Dungeon Dwellers: $19.95 per copy x ___ copies        $__________
  16.  
  17. Shipping & Handling $3.00 per copy x ___ copies        $__________
  18. CT residents must add 6% sales tax                      $__________
  19. TOTAL                                                   $__________
  20.  
  21. Mail to:  CI Software
  22.              44 Davenport Ave.          USA Voice Order: (203) 861 - 0063
  23.              Greenwich, CT 06830     
  24.  
  25. Payment Method:  [ ] Check   [ ] Money Order   [ ] Visa   [ ] MasterCard
  26.  
  27. Card number: ________________________  Expiration date:  _____/_____ (MM/YY)
  28.  
  29.  
  30. Signature:   ________________________________________   *** Thank you! ***
  31.  
  32. Make checks payable to "CI Software".  Allow two weeks for delivery.
  33.  
  34.