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  1. Realmz Registration / Order Form
  2.  
  3. Mail this completed form with payment to:
  4.  
  5. Fantasoft, LLC
  6. P.O. Box 14261
  7. Madison, WI 53714-0261
  8. USA
  9.  
  10. To order by phone, call us at (608) 249-5418.
  11. To order by Fax call (608) 249-5418
  12. To order by E-Mail, send the information below to:  Fantasoft1@aol.com
  13.  
  14. SERIAL NUMBER OF YOUR COPY OF REALMZ                                          Version                 
  15. To find the serial number and version of your copy, select "About Realmz" under the Apple menu.  The serial number and version will be displayed to the right of the yellow spider.
  16.  
  17. Last Name                                                                             First Name                                 
  18.  
  19. Address                                                                                                              Apt#             
  20.  
  21.                                                                                                                                                 
  22.  
  23. City                                                   State                   Zip                   Country                       
  24.  
  25. E-Mail Address:                                                           Phone:                                                   
  26.  
  27. Please Include a self-addressed envelope if ordering by mail.  It will make it MUCH easier for us to send your registration codes as soon as possible.
  28.  
  29. I would like to register:
  30. "Realmz" scenario driver and "City Of Bywater" scenario...............YES        $25
  31. "Assault On Giant Mountain" scenario.......................................................YES        $15
  32. "Prelude To Pestilence" scenario................................................................YES        $15
  33. "Castle In The Clouds" scenario...................................................................YES        $10
  34. "Destroy The Necronomicon" ........................................................................YES        $12
  35. ____________________________________________________________
  36. I would like to order disks by mail:
  37. a) Send "Realmz Character Editor" + "Scenario Tips" on disk.........YES        $10
  38. b) Send latest version of Realmz on disks..............................................YES        $5
  39. c) Send latest versions of all scenarios listed above on disk........YES       $5
  40. ____________________________________________________________
  41. Send a+b+c from above on disks .................................................................YES       $15
  42.  
  43. *Foreign orders add $3 if ordering disks.    *Total Due = $           
  44.  
  45. Method of Payment:        [  ]  Cash - Check           [  ] Visa / Mastercard / American Express
  46.  
  47. ___________________________________________________________________
  48. Account Number                                                                                                                                                Expiration Date
  49.  
  50. ___________________________________________________________________
  51. Name exactly as it appears on the credit card