"Deth Com 1" Order Form
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To order Deth Com 1, please fill out the form below. For more information
on Deth Com 1 please see the file README.TXT

Deth Com 1 is 5 pounds sterling. Cash and Cheques only. Cheques payable
to Richard Ling. Send cash at your own risk.

 = REQUIRED

First Name:____________________     Last Name:______________________

Age:_______           Sex:___________________

Street Address:________________________________________
               ________________________________________
Town:          ________________________________________
County/State:  ________________________________________
Post/ZIP code: ________________________________________

Email address:________________________________

Homepage URL(s):________________________________________________
                ________________________________________________

Internet Service Provider(s): (please tick as applicable)

   America On-Line      []       Compuserve         []
   Micorsoft NetWork    []       Abel Internet      []
   IBM Global Network   []       Other              [] ____________________
   
Do you read any of the following:

  PC GAMER       []                 PC ZONE        []
  PC FORMAT      []                 PC HOME        []
  .NET Magazine  []                 Other          []  __________________

Would you like to be emailed updates of Deth Com 1?   Yes []    No []

How did you hear about Deth Com 1? __________________________________

Comments:____________________________________________________________
         ____________________________________________________________
         ____________________________________________________________
         ____________________________________________________________
         ____________________________________________________________
         ____________________________________________________________
         ____________________________________________________________

This form can be emailed to:    RLing4@aol.com
Or be posted to:     Richard Ling
                     54b Hill Park Road
                     Fareham
                     Hampshire
                     PO15 6HT
                     England
