***	ORDER FORM	***

        TO:     S CURTIS
                8 GARDINER CLOSE
                CHALFORD
                STROUD
                GLOS
                GL6 8NJ
		UK

	DATE:	................

	FROM:   ................................... (BLOCK CAPITALS)
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	PLEASE SEND ME THE FULL VERSION OF MACHINE NATION AND
        A UTILITY TO DESIGN MY OWN LEVELS ON 3.5 INCH DISK

        I ENCLOSE THE SUM OF FIVE POUNDS ($10 US DOLLARS) OR EQUIVALENT
        DRAWN ON A U.K BANK OR INTERNATIONAL MONEY ORDER.         

	MY MACHINE IS - MAKE ................. MODEL .................
			RAM  ................. HARD DISK SIZE ........
			DISPLAY ..............

        COMMENTS ON MACHINE NATION - (BE POLITE!)
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