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Text File  |  1995-11-22  |  2.3 KB  |  52 lines
  1. Exile II   Registration / Order Form
  2.  
  3. Mail this completed form with payment to:
  4.  
  5. Fantasoft, LLC
  6. P.O. Box 14261
  7. Madison, WI 53714-0261
  8. USA
  9.  
  10. OR Phone/Fax this information to us at:  (608) 249-5418
  11.  
  12. OR  e-mail information below to:  Fantasoft1@aol.com
  13.  
  14.  
  15. Registration Code for Exile II                                  
  16. To find out the registration code, select 'Shareware Info' from the title screen of Exile.
  17.  
  18. Registration Code for Exile II Character Editor                                    
  19. To find out the registration code, select "Registration Info" from the menu.
  20.  
  21. Without this, we cannot process your order.
  22.  
  23. Last Name                                                                             First Name                                 
  24.  
  25. Address                                                                                                              Apt#             
  26.  
  27.                                                                                                                                                 
  28.  
  29. City                                                   State                   Zip                   Country                       
  30.  
  31. E-Mail Address:                                                             Phone Number:                                     
  32.  
  33. I would like to register:
  34. Exile II: Crystal Souls......................(Make sure you filled in your code above)........NO          YES           $25
  35.  
  36. The Exile II Character Editor...........(Make sure you filled in your code above)........NO          YES            $9
  37.  
  38. The hint booklet to Exile II...........................................................................................NO          YES            $7
  39.  
  40. Order all three above for a reduced package price of.................................................................YES           $35.
  41.  
  42. *Foreign orders add $3 for disk/hint book postage.    *Total Due = $           
  43.  
  44. Method of Payment:        [  ]  Cash            [  ] Visa                            [  ] American Express
  45.                                                                     [  ]  Check          [  ] Mastercard
  46.  
  47. ___________________________________________________________________
  48. Account Number                                                                                                                                                Exp Date
  49.  
  50. ___________________________________________________________________
  51. Name exactly as it appears on the credit card
  52.