ORDER FORM FOR MARTIN POWELL'S - AMIGA SCRABBLE
              ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~


Name (Yours) : _________________________________________________________

Address (Likewise, Yours) : _______________________________________________

________________________________________________________________________

City/Town : ____________________________________________________________

County/State : _________________________________________________________

Post/Zip Code : ________________________________________________________

Country : ______________________________________________________________

Daytime Phone Number : _________________________________________________

FAX Number : __________________________________________________________


Payment Method Enclosed,  For A Total Of 7 Pounds (U.K. Sterling) :

                             [  ] Cash

                             [  ] Cheque



Mail This Form To:

                     Martin Powell
                     125 Raisen Hall Road,
                     Longley,
                     Sheffield,
                     Enland,
                     S5 7NE.


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