home *** CD-ROM | disk | FTP | other *** search
/ Games Gallery 98 / Games Gallery 98 - Disc 2.iso / Content / JUMPSTAR / DISK1 / JUMPSTAR.1 / ORDER.FRM < prev    next >
Encoding:
Text File  |  1996-01-13  |  2.2 KB  |  56 lines
  1.                          LASER POINT ORDER FORM
  2.                  ***  PLEASE TYPE OR PRINT CLEARLY  ***
  3.  
  4. Name (Please Print)________________________________________________________
  5.  
  6. Address ___________________________________________________________________
  7.  
  8. City _______________________ St./Prov. _________________ ZIP/Code _________
  9.  
  10. Country (if not USA) ____________________ Phone/Fax _______________________
  11.                   
  12.  
  13. [ ] JumpStar for Windows, 3.5" Disk Version         ($25.00)  US Dollars
  14.  
  15.  
  16.                                         SUBTOTAL: $___________
  17.                       CA residents add sales tax: $___________
  18.                                  AMOUNT ENCLOSED: $___________
  19.                                    FREE SHIPPING!
  20.  
  21. Note: Payment must be in U.S. dollars and drawn against a U.S. bank.
  22.  
  23. Payment:  [ ] Cash (US Dollars only)  
  24.           [ ] Check  
  25.           [ ] Money Order
  26.  
  27. Mail to:  Laser Point
  28.           JumpStar Registration
  29.           P.O. Box 2378
  30.           Watsonville, CA  95077
  31.  
  32. Make checks payable to "Laser Point".  Thank you for your order!  
  33.  
  34. Where did you get the shareware version of JumpStar from?
  35.  
  36.   [ ]  Laser Point's World Wide Web site:         http://www.laserpoint.com
  37.   [ ]  Dexterity Software's World Wide Web site:  http://www.dexterity.com
  38.   [ ]  Other web site -- Name: ____________________________________________
  39.   [ ]  Internet FTP site -- Name: _________________________________________
  40.   [ ]  BBS -- Name: _______________________________________________________
  41.   [ ]  America Online
  42.   [ ]  CompuServe:  Forum Name: ___________________________________________
  43.   [ ]  Retail (store, flea market, computer swap meet)
  44.   [ ]  From a friend, from work, or from a relative
  45.   [ ]  Shareware catalog -- Name: _________________________________________
  46.   [ ]  CD-ROM disk -- Name: _______________________________________________
  47.   [ ]  Other:______________________________________________________________
  48.    
  49. Comments / Suggestions: ___________________________________________________
  50.  
  51. ___________________________________________________________________________
  52.  
  53. ___________________________________________________________________________
  54.  
  55. Thank You!
  56.