==============================[ ORDER FORM ]==================================
Safari Software            Orders: 800-238-1393            Compuserve: GO EPIC
10406 Holbrook Drive    Questions: 301-738-0230          Compuserve: 70451,633
Potomac, MD 20854 USA         Fax: 301-738-3249  Net: 70451.633@compuserve.com
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  You always receive a bonus disk of games FREE with your order.
  Please place a check mark in the [ ] boxes below,  and add up the totals.
 
 
[ ] Special discount!  Order any TWO products below and
      SAVE $5.00 -- or buy THREE and save $10.................. SAVE __________
 
 
Arcade and Adventure games:
[ ] Jason Storm in Space Chase ................................($30) __________
[ ] Heroes: The Sanguine Seven ................................($20) __________
[ ] Traffic Department: 2192 ..................................($35) __________
 
[ ] Other: _________________________________________________________ __________
 
[ ] Other: _________________________________________________________ __________
 
USA/Canada Shipping & Handling (International add $2 extra)......... __$4.00____
 
                        Maryland residents must add 5% tax.......... __________
 
                                                      Total enclosed __________
 
 
 
Disk size:  [ ] 3.5" High Density          [ ] Check here if you have ordered
            [ ] 3.5" Low Density               from Safari Software in the past.
            [ ] 5.25" High Density
 
 
        Name: _______________________________________________________________
 
     Address: _______________________________________________________________
 
City, ST Zip: _______________________________________________________________
 
     Country: ____________________  Phone: __________________________________
 
Payment by:  [ ] Check   [ ] Money order  [ ] Mastercard  [ ] Visa
 
Card # _______________________ Exp Date: _______ Signature: ________________