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  1. ************************** CRYSTAL QUEST ORDER FORM ***************************
  2.  
  3.    To order the latest version of this exciting game please send $10.00 +
  4. $2.00 for shipping and handling (NO CODs please!) and you will receive the
  5. game within several weeks.
  6.  
  7. Quantity: (  ) $10.00 + $2.00 = $12.00 total.
  8.  
  9. Disk size: ( ) 3 1/2" 720k    ( )5 1/4" 360k           Check (X) ONE only!
  10.            ( ) 3 1/2" 1.44M   ( )5 1/4" 1.2M
  11.  
  12. Mailing address:  ___________________________________________________
  13.                   ___________________________________________________
  14.                   ___________________________________________________
  15.                   ___________________________________________________
  16.                   ___________________________________________________
  17.  
  18. City:  ________________________
  19.  
  20. State:  _______________________
  21.  
  22. ZIP/Postal Code:  _______
  23.  
  24. Phone Number:  __________
  25.  
  26. Comments:  __________________________________________________________________
  27. _____________________________________________________________________________
  28. _____________________________________________________________________________
  29. _____________________________________________________________________________
  30. _____________________________________________________________________________
  31. _____________________________________________________________________________
  32. _____________________________________________________________________________
  33. _____________________________________________________________________________
  34. _____________________________________________________________________________
  35. _____________________________________________________________________________
  36.  
  37.  
  38. Send to:                Robin Ward
  39.                        c/o M&R Inc.
  40.                       156 Kirk Drive
  41.                       Thornhill, Ont.
  42.                          L3T-3L4
  43.                          CANADA
  44.  
  45. *****************************************************************************
  46.