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  1. Dream Web
  2.  
  3. Platforms:        MPC (DOS)
  4. Price:        รบ44.99 (incl VAT P & P)    
  5. Contact:        Empire - 081 343 9143
  6. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
  7. This order came through CD-ROM Magazine Interactive
  8.  
  9. Software title:    ____________________________________________________
  10.  
  11. Number of copies:    ___________        Cost (incl. 17.5% VAT)    ________________
  12.  
  13.                             Total Cost            ________________
  14.  
  15.  
  16. By post:        Make cheques or postal orders payable to: 'Entertainment International UK Ltd' 
  17. Send to:        Empire International, The Spires, 677 High Road, London N12 0DA
  18. Fax to:        081 343 7447    
  19.  
  20. Please debit my credit card with the total cost        Visa    Access        MasterCard        
  21.  
  22.  
  23. Card number        ___________________________    Expiry date:    _______________
  24.  
  25. Name on card    _____________________________________________________
  26.  
  27. Signature        _____________________________________________________
  28.  
  29.  
  30. Name            _____________________________________________________
  31.  
  32. Address        _____________________________________________________
  33.  
  34.             _____________________________________________________
  35.  
  36. Phone no        _____________________________________________________
  37.