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			MICRONET SOFTWARE ORDER FORM
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Name (please print)_________________________________________________________

Address ____________________________________________________________________

City ______________________ St./Prov. ________________ ZIP/Code ____________

Country (if not USA) __________________ Phone/Fax __________________________

Email address __________________________________

GAME:		HangMan $9.95 each	____ x $9.95 = $_________

SHIPPING/HANDLING	[ ] USA: $5. Each additional game add $1.
CHARGES:		[ ] Canada & Mexico: $6. Each additional game add $1.
			[ ] All other countries: $8. Each additional game add $2.
			[ ] Please send my game by email.

Total payment: $____________ (Michigan residents MUST add correct sales tax)

Note: Payment must be in U.S. dollars and drawn against an U.S. bank.
      Please do not send cash!

Payment type: [ ] Check [ ] Money Order

Mail to:	MicroNet Software Technology
          	P.O. Box 5439
		Saginaw, MI 48603-0439

Make checks payable to "MicroNet Software Technology".
All prices subject to change without notice. All items subject to availability.

What do you like best about HangMan?

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Thank you!