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!
