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  1.  I M P U L S E   G A M E S   I N C.                        SOFTWARE ORDER FORM
  2. ______________________________________________________________________________
  3. Take a few minutes to fill out our easy order form and you'll be  on your way
  4.   to more exciting and addictive gaming in no time!  You can also print this
  5.         order form by typing "PRINT ORDERFRM.TXT" at the DOS prompt.
  6.  
  7. NAME:_________________________________ COMPANY:_______________________________
  8.  
  9. ADDRESS:______________________________ CITY/ST/ZIP:___________________________
  10.  
  11. PHONE:________________________________
  12.  
  13. PAYMENT:  [ ] Check*      [ ] Money Order*    *(Payable to IMPULSE GAMES. Must
  14.           [ ] Visa        [ ] Mastercard        be drawn against a U.S. Bank) 
  15.  
  16. CARD NUM: ______________________ EXP:_____ SIGNATURE:_________________________
  17.  
  18.   Please fill out this system information to assist in processing your order.
  19.  
  20. PROCESSOR:   [ ] Pentium   [ ] 486       [ ] 386       [ ] 286      [ ] XT    
  21. VIDEO CARD:  [ ] SVGA         [ ] VGA          [ ] EGA          [ ] CGA       
  22. DISK DRIVES: [ ] 3.5" 1.44M   [ ] 3.5" 720K    [ ] 5.25" 1.2M   [ ] 5.25" 360K
  23. ______________________________________________________________________________
  24.      |                                                              |         
  25.  QTY |  PRODUCT TITLE                                               |  PRICE  
  26. _____|______________________________________________________________|_________
  27.      |                                                              |         
  28. _____|______________________________________________________________|_________
  29.      |                                                              |         
  30. _____|______________________________________________________________|_________
  31.      |                                                              |         
  32. _____|______________________________________________________________|_________
  33.      |                                                              |         
  34. _____|______________________________________________________________|_________
  35.      |                                                              |         
  36. _____|______________________________________________________________|_________
  37.      |                                                              |         
  38. _____|______________________________________________________________|_________
  39.      |                                                              |         
  40. _____|______________________________________________________________|_________
  41.                                                                     |         
  42. TOLL-FREE ORDER LINE:     |   SHIPPING CHARGES   |          SUBTOTAL|         
  43. 1-800-6-IMPULSE           |______________________|                  |=========
  44.                           |                      |                  |         
  45. FOREIGN ORDERS:           |USA:               $3 | IN Residents ONLY|         
  46. 1-317-271-4409            |All others:        $5 |  add 5% sales tax|_________
  47.                           |Fed-Ex next day:   $15|                  |         
  48. 24 HOUR FAX LINE:         |  (US only)           |          SHIPPING|         
  49. 1-317-247-1009            |Please allow 1-2 weeks|                  |_________
  50.                           |for delivery if using |                  |         
  51. OR MAIL TO:               |regular shipping.     |       ORDER TOTAL|         
  52. Impulse Games             |______________________|                  |=========
  53. P.O. Box 31199
  54. Indianapolis, IN  46231                              THANK YOU FOR YOUR ORDER!
  55. ______________________________________________________________________________
  56.