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                          PiXEL STORM ENTERTAINMENT
Address  :       11135 23A Ave.
                 Edmonton, Alberta
                 Canada T6J-4W5
Internet :       orders@sy-systems.com
Web      :       http://www.sy-systems.com
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Please fill out the appropriate sections of the form and mail it to us.
Please include correct information to ensure proper handling of order. 

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                              -Canadian Orders-
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MegaMotion (TM)  Copies Required:____ x ($34.99 CDN each) = SubTotal:________

PlasmaZone (TM)  Copies Required:____ x ($24.99 CDN each) = SubTotal:________

****** Order both games and save $5.00 *******

Pack (both games) Copies Required:____ x ($54.98 CDN/pack) =SubTotal:________

Shipping & Handling                                             :$5.00_______

Total Amount enclosed (Prices include GST)                      :$___________

Payment Method:  ( ) Cheque   ( ) Money order

Cheque must be in Canadian funds and drawn on a Canadian Bank otherwise
send a Money Order.
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                         -US and International Orders-
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MegaMotion (TM)  Copies Required:____ * ($24.99 USD each) = SubTotal:________

PlasmaZone (TM)  Copies Required:____ * ($19.99 USD each) = SubTotal:________

****** Order both games and save $5.00 *******

Pack (both games) Copies Required:____ x ($39.98 USD/pack) =SubTotal:________

Shipping & Handling (International add an additional $3)       :$4.00________

Total Amount enclosed:                                         :_____________  

Payment Method:  ( ) Cheque   ( ) Money order

Cheque must be in US funds and drawn on a US Bank otherwise
send a Money Order.
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                               -Information-
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Please be sure to fill this form accurately.

Name                :____________________________________________________

Address             :____________________________________________________

                     ____________________________________________________

City, State/Province:____________________________________________________

Postal Code (ZIP)   :_____________________________

Country             :_____________________________

Phone               :_____________________________


Where did you obtain this demo? ____________________________________________

Comments/Questions ? :______________________________________________________

____________________________________________________________________________

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Thank you for ordering from PiXEL STORM ENTERTAINMENT.  We appreciate your
business and look forward to giving you more quality products in the future.

NOTE: All prices and products in this form are subject to change without prior
notice.
