My Little Realm Enterprises Order Form

          Last: ___________________________  First: ________________  M.I. __

          Address: __________________________________________________________

          City: _________________________________________  State: ___________

          Zip: ________________ Home Phone: (________) ______________________
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          ____  I want to purchase the programs checked below:

                ____  Calling Cards              ____  Public Library
                ____  Charge Card                ____  Read More
                ____  Checking                   ____  Records of the Realm
                ____  Private Library            ____  Savings

          Number of programs purchased _____ at $20 each          _________
                                              Shipping/Handling   ___$5.00_
          ___________________________________________________________________

          ____  I'd rather save $125!  Rush me MLR/the System for only $35.

          My Little Realm/The System   _______   at  $35/system   _________
                                              Shipping/Handling   __$10.00_
          ___________________________________________________________________

                                                       Subtotal   _________
                      New Jersey residents please add sales tax   _________

                                       Total amount of purchase   _________
          ___________________________________________________________________

          Bonus program:  ________________________    [Limit one per order.]
          ___________________________________________________________________

          Disk size:   _____   5 1/4"   _____   3 1/2"    (Disks are DS/DD)
          ___________________________________________________________________

          Please send your check or money order to:  

                              My Little Realm Enterprises
                              22 Church Street #103, Suite 376
                              Ramsey, New Jersey 07446

          Checks and money orders must be drawn on U.S. banks in U.S. funds.
          Credit card and phone orders cannot be accepted.
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