HOW TO ORDERPHONE: 1-800-580-XXXX, 24 hours a day, 7 days a week.FAX: Print this form and fax to (408) 644-XXXX
MAIL: Print this form and mail to: Name: (please print) ____________________________________________ Street______________________________________________ City_______________________________State_______Zip____________ In case we have questions about your order: Telephone:________________________________ FAX:________________________________ The serial number and model number of your AST computer are needed to qualify for this offer: Model Number ________________ Serial Number____________________________________
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Order Information: |
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Enter below the amount for each set ordered times Quantity of Sets = Total Sonic CD, Bug!, and Baku Baku ($99 value) All 3 for $59.95 times ________=________
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Virtua Fighter and Daytona USA Demo Game CD ($20 value) FREE times ________=_FREE_
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Virtua Fighter full retail version for $49.95 times ________=________
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Daytona USA full retail version for $49.95 times ________=________
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| U.S. Shipping and Handling $6.50________ | |
| Residents of CA, FL, ID, MA, and TX add appropriate Sales Tax________ | |
| GRAND TOTAL________ | |
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PAYMENT METHOD: Please do not send cash or purchase orders. Make checks and money orders payable to Phoenix Publishing Systems, Inc. U.S. funds only. Note that on credit card orders your statement will reflect a payment to Phoenix Publishing Systems, Inc. Thank You Please indicate payment method: Check or money order enclosed ___ VISA___ Master Card ___ AMEX ___ Discover ___ Card Number___________________________________________ Exp. Date__________ Cardholder's Signature____________________________________________________ Please allow 6-8 weeks delivery. |
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