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  1.         
  2.                        LOADSTAR MARKETPLACE ORDER FORM 
  3.         
  4.                     OFFER #:MPLS98 - Offer Expires 8/30/92
  5.                               (C64 - 5.25" DISKS)
  6.         
  7.                     1 - 8 0 0 - 8 3 1 - 2 6 9 4  EXT. 4012
  8.         
  9.         NAME/ITEM NO.                QUANTITY     PRICE       TOTAL  
  10.         
  11.         MUSIC BY MARQUIS  080625      -----   X  $ 9.95   =   -------
  12.         
  13.         SONGSMITH  069525             -----   X  $19.95   =   -------
  14.         
  15.         GRAPHICS GALLERY 2  070125    -----   X  $14.95   =   -------
  16.         
  17.         GEOPOWER TOOLS  080525        -----   X  $19.95   =   -------
  18.         
  19.                                              SUBTOTAL $--------------
  20.         
  21.         Louisiana residents please add 4% sales tax...$--------------
  22.         
  23.         SHIPPING & HANDLING: UPS Ground - $3.50 up to 3 items;
  24.         50 cents each additional item.  Foreign: $5 first;
  25.         50 cents each additional item..................$-------------
  26.         
  27.                                             TOTAL DUE $--------------
  28.          
  29.         CUSTOMER NUMBER:----------------- (Look just above your name
  30.         on the address card of your subscription pack.)
  31.         
  32.         Name:--------------------------------------------------------
  33.         
  34.         Street Address:----------------------------------------------
  35.         
  36.         Mailing Address:---------------------------------------------
  37.         
  38.         City: -------------------------- State: ----- Zip:-----------
  39.         
  40.         Country:------------------------- Country Mail Code:---------
  41.         
  42.         Phone:(------)-------------------------
  43.         
  44.         PAYMENT METHOD:
  45.         
  46.         ----- Payment enclosed. (Make check or money order payable to
  47.         Softdisk Publishing in U.S. FUNDS ONLY.)
  48.         
  49.         --------- Discover --------- Visa/MC  --------- Am Exp.
  50.         
  51.         Account #:------------------------ Exp. Date:----------------
  52.         
  53.         Signature:---------------------------------------------------
  54.                (Allow 2-4 weeks for delivery.)
  55.         
  56.         Mail to:   SOFTDISK PUBLISHING
  57.                    PO BOX 30008,
  58.                    SHREVEPORT, LA 71130-0008
  59.         
  60.         OR PHONE: 1-800-831-2694 Ext. 4012 or 1-318-221-8718 Ext. 4012
  61.                                                                             
  62.