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========================== FUTURELORE ORDER FORM ==========================

 Name:    ________________________________________________________________
  
 Address: ________________________________________________________________
                                                                     
 City:    ________________________________  State Or Province: ___________

 Country: ________________________________  ZIP Or Postal Code: __________

 QUANTITY  GAME                 TITLE                   PRICE      TOTAL
                                                       
 ________  ____  ___________________________________  _________  _________

 ________  ____  ___________________________________  _________  _________

 ________  ____  ___________________________________  _________  _________

 ________  ____  ___________________________________  _________  _________

 ________  ____  ___________________________________  _________  _________

 ________  ____  ___________________________________  _________  _________

 Total from additional pages (add as many pages as are needed)   _________

 SUBTOTAL                                                        _________

 Sales Tax (6% for South Dakota residents only)                  _________
  
 Handling Charge (add $2 for orders under $30)                   _________
  
 Shipping (FREE book rate in USA, see below for other rates)     _________

 TOTAL                                                           _________

 Payment by (check one):   Visa ___    Mastercard ___    Discover Card ___
 Credit Card On File ___   Cash ___    Check      ___    Money Order   ___

 Card Number: _______________________________  Expiration Date: __________

 Full Name On Card: ______________________________________________________

 Shipping Rates:  Book rate within USA (arrives in one to two weeks) FREE
                  Priority mail within USA (two to three days)  add $3.00
                  Please ask about rates for shipping by other methods or
                  shipping outside of USA.  Orders shipped outside of USA
                  must be paid by money order payable in US Dollars or by
                  credit card.
                  
            Futurelore                     TELEPHONE     (605) 692-7341
           P.O. Box 683                    Mon - Sat 12pm - 5pm Central
          323 Main Avenue                  FAX           (605) 692-7341
        Brookings, SD 57006                Mon - Sat 12pm - 5pm Central
     http://www.futurelore.com             EMAIL order @ futurelore.com