SPECULATOR MAP SET ORDER FORM (065) Name _______________________________________________________ Address ____________________________________________________ City _____________________ State ________ ZIP _________ Country __________________ Phone ________________________ Please circle disk size: 5 1/4" 3 1/2" Please indicate each item you wish to order: _________ "Slick Cities" ($19.95) _________ "Ancient Tymes" ($19.95) _________ "County Side" ($19.95) _________ "Mooned Puzzles" ($19.95) _________ Any three Map Sets ($39.95) $ ========= subtotal $ _________ Please add $3.00 for shipping and handling. Foreign orders add $5.00 for shipping and handling. $ _________ California residents add 7.75% sales tax. $ ========= Amount Enclosed Payments can be made by check, money order, Master Card or Visa. All payments must be in US funds drawn on a US Bank. All prices listed are in US dollars. Orders are shipped within 48 hours of receipt. US orders are shipped priority mail. Foreign orders are shipped first class mail. [ ] Visa [ ] Master Card No. _________________________ Exp ___/___ Your Signature ___________________________________________________ Mail To: WestWorld Computer Services 3755 Avocado Blvd Suite 304 La Mesa, CA 91941-7301 See ordering information in the program on how to order using our toll-free 800 number, fax or E-mail.