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  1. ******************************************************************************
  2.  
  3.           The Coach's Challenge is available by online download only.
  4.  
  5.            Once you have purchased your product, we will email you a 
  6.             ID and password that will allow you to access a private
  7.              Download section of our web site called the "Stadium"
  8.              where you can download the game at your convenience.
  9.  
  10.  
  11.    *****************   pacific media worX Order Form   *******************
  12.                          http://www.pacmedia.com/
  13.  
  14.                                HOW TO ORDER
  15.  
  16.                 Select one of the following order options:
  17.  
  18.         * Go to http://www.pacmedia.com and use our secure, online 
  19.                 credit card processing and order system.
  20.  
  21.         * Fill out and fax this order form to 619-465-0323.
  22.  
  23.         * Copy and paste this form into an e-mail message and send
  24.                        it to "orders@pacmedia.com"
  25.  
  26.         * Call use directly at 619-462-6042 between 9AM and 5PM PST
  27.  
  28.         * Fill out and mail this order form to:
  29.  
  30.  
  31.                              pacific media worX
  32.                               P.O. Box 191130
  33.                             San Diego, CA 92159
  34.                                    U.S.A.
  35.  
  36.  
  37.  
  38. Name______________________________ Organization_____________________________
  39.  
  40. Address_____________________________________________________________________
  41.  
  42. City__________________________ State______________________ ZIP______________
  43.  
  44. Country_______________________ Phone (______)_______-___________
  45.  
  46. Email Address_____________________________________________
  47.  
  48.  
  49.  
  50. ############################################################################
  51.  
  52.                                                Plat-       
  53. Product                                Price   form    Quantity   Amount
  54. ----------------------------------  -------- --------  -------- ------------
  55.  
  56. The Coach's Challenge                $12.90   Win '95
  57. (Fantasy Football '97)                          PPC  
  58.  
  59. ----------------------------------  -------- --------  -------- ------------
  60.  
  61.                                                            TOTAL ___________
  62.  All prices U.S. Dollars and subject to change.
  63.  
  64. Payment: ___Cash ___Check/Money order (US funds only)
  65.          
  66.  
  67.          ___Visa ___Mastercard         #____________________________________
  68.                    
  69.  
  70.          Exp. Date_______ Signature__________________________ Date__________
  71.  
  72.  
  73. ############################################################################
  74.  
  75. Send Me More Information: __Total Ruin              __Total Ruin II  
  76.                           __Vitamin                 __How NOT to be Lonely 
  77.                           __New Fathers Baby Guide  __Digital Vaccine
  78.                           __Hawaiian Fantasy Bodies __Hightechtures   
  79.                           __Hightechtures II
  80.                           __The Animation Class Library
  81.                           __Site Licenses/Volume purchases  __Other_________
  82.  
  83. ############################################################################
  84. Mail to:                          eMail mail to:
  85.  
  86.   pacific media worX             orders@pacmedia.com
  87.   P.O. Box 191130                sales@pacmedia.com
  88.   San Diego, CA 92159             
  89.   United States of America          
  90.  
  91. Web: http://www.pacmedia.com/
  92.  
  93. Phone: 619-462-6042                      
  94. Fax:   619-465-0323
  95.  
  96.