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ORDERFRM.DOC
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Text File
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1995-07-12
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3KB
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72 lines
===================================
DDM ROL CRUZADERS REGISTRATION FORM
===================================
YES, I'd like to receive registered ROL CRUZADERS!
CALL +34-1-5192353,
return completed form via fax, mail, email, or see your local retailer!
NAME:_____________________________________________________
ADDRESS:_____________________________________________________
_____________________________________________________
CITY:________________________ STATE/PROV:_________________
ZIP CODE:____________________ PHONE/FAX:______________________
COUNTRY :_______________
U.S. orders: $29.95 per copy
Non U.S orders: £19 per copy
U.S. ORDERS: _____ copies @ $29.95 ea : _______
shipping and handling $3.99 per copy : _______
NON U.S. ORDERS: _____ copies @ £19 ea : _______
shipping and handling £2.55 per copy : _______
>> TOTAL PAYMENT: _______
PAYMENT TYPE: ( ) Check ( ) Money Order ( ) Transference
( ) Visa ( ) MasterCard ( ) American Express
CARD NUMBER:_____________________________________________________
EXPIRATION DATE:_____/_____ SIGNATURE:_________________________
NAME ON CREDIT CARD (if different from above):___________________
Make checks payable to Digital Dreams Multimedia
ALL ORDERS MAIL TO: OR CALL:
Digital Dreams Multimedia Voice: +34-1-5192353
C/ Vicente Muzas, 15 1D fax: +34-1-4135577
Madrid, 28043 (Spain) email: ddm@servicom.es
Below this lines we put out bank data, account, address.
Owner: Digital Dreams Multimedia
Acc: 203/700403-16
Addrs: C/ Principe de Vergara, 261 28016 Madrid (SPAIN)
These are some of the addresses of out bank all over the world,
you can use them if you decide to make a deposit in our account.
UNITED KINGDOM: London. 120, Pall Mall, London SW1Y SEA,
FRANCE: Paris. 21, rue de l'Arcade, 75008 PARIS
FRANCE: Rungis, 106, rue de la Tour M.I.N. 94516 Rungis Cedex
FRANCE: Perpignan, O.P., 48, Blv. Clemenceau, 66000 Perpignan,
FRANCE: Perpignan, Ag. Saint Charles, Marche International, Bureau 306, 66000 Perpignan
FRANCE: Toulouse, 19, Place Occitane, 31000 Toulouse.
ITALY: Milan, Via Fontana, 16 , 20122 Milano
USA: New York, The Chrysler Building, 37th floor 405, Lexington Ave., New York, N.Y. 10174
SWISS: Geneva, 10, Rue de Vieux Collége, 1211 Geneve-3
SINGAPORE: Singapore, 133, Cecil Street, 09-11 Keck Seng Tower, Singapore 0106
MEXICO: México city, Montes Urales, 723-3 (Lomas de Chapultepec), 11000 México D.F.