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- ********************************************************************************
- * CHAMPROGRAMMING ORDER FORM *
- ********************************************************************************
-
- 1. NAME AND ADDRESS: 3. CLASSIC GAMES WISH LIST:
-
- ______________________________________ 1st _____________________________
-
- ______________________________________ 2nd _____________________________
-
- ______________________________________ 3rd _____________________________
-
- Phone: (______)____________ Age: _____ 4th _____________________________
-
- Email: _____________@_________________ 5th _____________________________
-
- 2. HARDWARE PROFILE: 4. HOW WERE YOU INTRODUCED TO
- (Describe your computer system) CHAMPROGRAMMING?
-
- Processor (386/486/Pentium): _________ _________________________________
-
- Do you use a joystick? _________ 5. WHAT DO YOU LIKE MOST ABOUT
- CHAMP GAMES?
- Do you have a sound card? _________
- _________________________________
- 6. ORDER INFORMATION:
- CHAMP
- Quantity Item Code Item Description Credits Unit Price Total Price
- --------------------------------------------------------------------------------
- | | | | | | |
- |________|___________|________________________|_________|__________|___________|
- | | | | | | |
- |________|___________|________________________|_________|__________|___________|
- | | | | | | |
- |________|___________|________________________|_________|__________|___________|
- | | | | | | |
- |________|___________|________________________|_________|__________|___________|
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- |________|___________|________________________|_________|__________|___________|
- | | | | | | |
- |________|___________|________________________|_________|__________|___________|
- ******************************** | |
- * SATISFACTION GUARANTEED * Subtotal: |___________|
- * * | |
- * If, for any reason, you are * (CT Residents add 6%) Tax: |___________|
- * not satisfied, write our * | |
- * Customer Service Department * Shipping: |___________|
- ******************************** | |
- $ = ONLY UNITED STATES CURRENCY ACCEPTED! - CHAMP Coupons: |___________|
- | |
- Shipping and Handling: Total: |___________|
- -> $1 for each item ordered. U.S. DOLLARS!
- -> International orders add $2 for each item.
- All games shipped within 2-4 weeks of purchase! Advance orders are excluded.
-
- Send to: CHAMProgramming Inc.
- 34-3 Shunpike Road, #187
- Cromwell, CT 06416 USA THANK YOU FOR YOUR ORDER!
-
-
- COMPLETE LIST OF CHAMP PRODUCTS AVAILABLE:
-
- ITEM DESCRIPTION UNIT CREDIT RELEASE DATE
- CODE PRICE PRICE
- -----------------------------------------------------------------------------
- CG01 CHAMP Pac-em 12.95 300 Available Now!
- CG02 CHAMP Centipede 14.95 350 Available 11/96
- CG03 CHAMP Asteroids 12.95 250 Available 11/96
- CG04 CHAMP Ms. Pac-em 14.95 400 Available Now!
- CG05 CHAMP Galaxia 12.95 300 Available Now!
- CG06 CHAMP Kong 17.95 500 Available Now!
- CG07 CHAMP Galagon 17.95 500 Available 12/96
- CG08 CHAMP Invaders 12.95 250 Available 12/96
- CG99 CHAMP Cable 17.95 450 Available Now!
-
- -----------------
- | CHAMP Credits |
- -----------------
- For each game you purchase, you earn 100 CHAMP Credits which can be used
- on future purchases. If you purchase more than one game at once, you
- are also awarded BONUS CHAMP Credits. The following table summarizes the
- CHAMP Credits earned for a purchase:
-
- # OF GAMES CHAMP BONUS TOTAL
- ORDERED CREDITS CREDITS CREDITS
- ----------------------------------------------------------
- 1 100 0 100
- 2 200 50 250
- 3 300 100 400
- 4 400 200 600
- 5 or more Add 100 each Add 50 each Add 150 each
-
- HOW DO I USE CHAMP CREDITS?
-
- To use your CHAMP Credits, simply fill out your order form and make sure to
- write the number of credits for the game in the 'CHAMP Credits' column. Only
- fill in the 'Unit Price' column for the games you are sending money for.
-
- You can also use your CHAMP Credits on-line at the CHAMProgramming Web Site,
- located at:
-
- http://www.champgames.com
-
-
- To verify your credits with our accounting department, or for any other
- questions about CHAMP Credits, please E-mail us at
-
- credits@champgames.com
-
- Thank you for your support.
-
-
-