NAME OF PERSON TO BE PUT INTO GAME_______________________PLEASE PRINT CLEARLY NAME _______________________________________________(UP TO 12 CHARACTERS) ADDRESS ______________________________________________________________ CITY _______________________________STATE______________ZIP_________ NOTE: BY ORDERING YOU AGREE TO ALL STIPULATIONS SET FORTH IN READ.1ST FILE! [] REPTALIA $19.00..... ________ (Personalized) [] TIME AFTER TIME $19.00..... ________ (Personalized) [] BOTH GAMES $29.00..... ________ (Personalized) [] Register REPTALIA $10.00..... ________ (Generic character) [] Register TIME AFTER TIME $10.00..... ________ (Generic character) [] Register both games $18.00..... ________ (Generic Character) INCLUDE $4.00 SHIPPING & HANDLING ________ Massachusetts residents add 5% sales tax ________ ________ TOTAL AMOUNT MAKE CHECK OR M.O. PAYABLE TO: ANTARES BROTHERS [] CHECK HERE TO BE SEND PHOTO AND/OR PAYMENT TO P.O.Box 337 on our mailing list THIS ADDRESS -> HADLEY MA 01035 for future games. PLEASE NOTE: Photo quality directly affects quality of graphics in the game. FOR ORDERS OUTSIDE U.S.A. ADD $10.00 SHIPPING & HANDLING PAYABLE BY MONEY ORDER ONLY!