I M P U L S E   G A M E S   I N C.                        SOFTWARE ORDER FORM
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Take a few minutes to fill out our easy order form and you'll be  on your way
  to more exciting and addictive gaming in no time!  You can also print this
        order form by typing "PRINT ORDERFRM.TXT" at the DOS prompt.

NAME:_________________________________ COMPANY:_______________________________

ADDRESS:______________________________ CITY/ST/ZIP:___________________________

PHONE:________________________________

PAYMENT:  [ ] Check*      [ ] Money Order*    *(Payable to IMPULSE GAMES. Must
          [ ] Visa        [ ] Mastercard        be drawn against a U.S. Bank) 

CARD NUM: ______________________ EXP:_____ SIGNATURE:_________________________

  Please fill out this system information to assist in processing your order.

PROCESSOR:   [ ] Pentium   [ ] 486       [ ] 386       [ ] 286      [ ] XT    
VIDEO CARD:  [ ] SVGA         [ ] VGA          [ ] EGA          [ ] CGA       
DISK DRIVES: [ ] 3.5" 1.44M   [ ] 3.5" 720K    [ ] 5.25" 1.2M   [ ] 5.25" 360K
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TOLL-FREE ORDER LINE:     |   SHIPPING CHARGES   |          SUBTOTAL|         
1-800-6-IMPULSE           |______________________|                  |=========
                          |                      |                  |         
FOREIGN ORDERS:           |USA:               $3 | IN Residents ONLY|         
1-317-271-4409            |All others:        $5 |  add 5% sales tax|_________
                          |Fed-Ex next day:   $15|                  |         
24 HOUR FAX LINE:         |  (US only)           |          SHIPPING|         
1-317-247-1009            |Please allow 1-2 weeks|                  |_________
                          |for delivery if using |                  |         
OR MAIL TO:               |regular shipping.     |       ORDER TOTAL|         
Impulse Games             |______________________|                  |=========
P.O. Box 31199
Indianapolis, IN  46231                              THANK YOU FOR YOUR ORDER!
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