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Text File  |  1995-11-13  |  1.4 KB  |  46 lines
  1.         Rainbow Balls Order Form
  2.  
  3.  
  4. Please type in the following information:
  5.  
  6. Name (first & last): 
  7.                      -----------------------------------
  8. Street/P.O. Box: 
  9.                  ---------------------------------------
  10. City, State/Province: 
  11.                       ----------------------------------
  12. ZIP/Postal Code: 
  13.                  ---------------------------------------
  14. Country: 
  15.          -----------------------------------------------
  16. E-mail: 
  17.          -----------------------------------------------
  18. Telephone (with Area Code): (   ) 
  19.                              ---  ----------------------
  20. Where did you get Rainbow Balls: 
  21.                                   ----------------------
  22. Format:
  23.     [ ] Standard ($5 US)
  24.           Password to remove registration messages.
  25.  
  26.     [ ] Deluxe ($15 US)
  27.           Password included.
  28.           Receive additional sound libraries and bitmaps.
  29.           (via E-mail)
  30.  
  31. Comments/Suggestions: 
  32.                       ------------------------------------
  33.  
  34. ----------------------------------------------------------
  35.  
  36. ----------------------------------------------------------
  37.  
  38. Please mail this form along with your check or money
  39. order.  Be sure to make the check or money order payable
  40. in Russia to Vyacheslav A.Lebedev.  Thank you for your support!
  41.  
  42.     Vyacheslav A.Lebedev,
  43.     AO Gambit,
  44.     3rd Khoroshevskaya street, bld. 11,
  45.     Moscow, Russia, 103482
  46.