================================================================== APOGEE/3D REALMS ORDER FORM - FAX SHEET (Fax number: 972-278-4670) PAGE 1 OF 2 - MAR 10, 2009 Revision ================================================================== ** If you don't see your title here, you can write it in below ** [ ] Blake Stone: Aliens of Gold - Futuristic 3D action, 66 levels! ($10.00) [ ] Commander Keen: Vorticons/Galaxy Combo - CD Only ($20.00) [ ] Cosmo's Cosmic Adventure - Help rescue Cosmo's parents ($10.00) [ ] Death Rally, Top down 3D racing with combat & gore! (CD Only) ($10.00) [ ] Duke Nukem I (the original) -- Non-stop pure action! ($10.00) [ ] Duke Nukem II -- New VGA explosive action game ($10.00) [ ] Duke Nukem 3D: Atomic Edition CD (Plutonium PAK is built in!) ($10.00) [ ] Monster Bash - EGA Classic Scroller with a Halloween Theme! ($10.00) [ ] Mystic Towers -- Totally unique action/puzzle game! ($10.00) [ ] Paganitzu - CGA/EGA puzzle game - One of our best puzzle games ($10.00) [ ] Planet Strike -- 3D Action, sequel to original Blake Stone ($10.00) [ ] Raptor: Call of the Shadows CD - Best DOS shooter ever on PC! ($15.00) [ ] Realms of Chaos, CD-ROM Version - VGA arcade/action! ($10.00) [ ] Shadow Warrior CD -- Help Lo Wang kick ass in the far east ($10.00) [ ] Terminal Velocity CD - includes cinematics, etc. ($15.00) [ ] Wacky Wheels CD - Upgrade Edition With 42 total tracks! ($10.00) [ ] Wolfenstein 3-D CD All SIX EPISODES "Wolf-Pack" ($15.00) [ ] Wolfenstein 3-D Hint Book (with all maps, story and secrets) ($ 2.00) [ ] Word Rescue & Math Rescue Combo - CD Only ($29.95) *** MISCELLEANOUS ITEMS *** [ ] Duke Nukem Forever Beverage Coasters - Set of four ($ 7.95) [ ] Duke Nukem 3D Strategy Guide Book ($ 4.95) [ ] Duke Nukem 3D Mouse Pad ($ 5.95) [ ] other _________________________________________________________________ There are some items that are only available online. Please visit our online store at http://www.buy3drealms.com. Further ordering information is available here: http://www.3drealms.com/order.html --- continued --- ================================================================== APOGEE SOFTWARE ORDER FORM - FAX SHEET (Fax number: 972-278-4670) PAGE 2 OF 2 ================================================================== Name (please print)________________________________________________________ Address ___________________________________________________________________ Address ___________________________________________________________________ City _______________________ St./Prov. _________________ ZIP/Code _________ Country (if not USA) ____________________ Phone/Fax _______________________ E-Mail ____________________________________________________________________ DISK SIZE: [ ] 3.5" 1.44M [ ] CD-ROM (Please check all that you can use - we will send the highest available format.) SHIPPING [ ] USA: $5. Each additional item add $1. CHARGES: [ ] USA Priority Mail: $8. Each additional item $1. [ ] Canada & Mexico: $6. Each additional item add $1. [ ] All other countries: $8. Each addtl. item add $2; shirts add $4 If this is being shipped to TX, you must add 8.25% sales tax to total order. Total payment: $______________ Payment: [ ] Visa [ ] MasterCard [ ] Discover [ ] American Express [ ] Check [ ] Money Order Card number: ______________________________________________________________ Expiration date: _____/_____ (MM/YY) Signature: __________________________ Note: Payment must be in U.S. dollars and drawn against a U.S. bank. Please do not send cash! Mail to: Apogee Software, Ltd. Order: 1-800-APOGEE1 (1-800-276-4331) P.O. Box 496389 Phone: (972) 278-5655 (Foreign orders) Garland, TX 75049-6389 Visa, MasterCard, Amex, Discover welcome! Thank you for your order! Make checks payable to "Apogee Software, Ltd.". Allow up to two weeks for domestic delivery - up to four for foreign orders. All prices subject to change without notice. All items subject to availability. For more ordering info, and for specials not listed here, please visit our order info page on the web at http://www.3drealms.com/order.html. Thank you!