C2V - Games Order Form

    Send the following order (by fax, e-mail ...) giving your credit card
    number or do it by phone or join a check to the order of C2V in a
    "classic" mail (surface mail). Another possibility is to pay on receipt
    ... but the shipping fees are really more expensive, you have to add
    around 100 FRF more ! (100 FRF = 10 GBP = 17 USD = 17 EUR).

                                  Order Form

    Ship to:
    NAME : .............................  FIRSTNAME : ........................
    ADDRESS : ................................................................
    ..........................................................................
    ZIP CODE : ..........TOWN : ..............................................
    COUNTRY : .................................... PHONE : ...................
    EMAIL : ......................................

    Payment included:
     [ ] Visa / MC Num. : .................................. Expir. : ........
     [ ] Amex      Num. : .................................. Expir. : ........
     [ ] Check     Bank : ............................

    DATE : ..........       SIGNATURE : ..............

    CD GAMES
    	KE	KRYPTON EGG "The ultimate breakout"
    	IS	IKO SAN "Space under control"
    	DJ	DYNAMITE JOE "The captive game"
    	VZ	VYRUZ "The destruction of the Untel Empire"

    CD AUDIO
    	DATITA RABESON 	CD-AUDIO "INDRO"	- world music madagascar -
    	RYO INAGAKI CD-AUDIO "REFLECTIONS"	- musicotherapy -
    	DIMITRI CD-AUDIO "PETIT BOUT DE MONDE"	- world music madagascar -
    	A2T DIMAREC	CD-AUDIO "KESAKO"	- afro jazz -
    	TOY "VYRUZ THE DESTRUCTION"		- transe electronic -

          			MS-DOS WIN95/98	CD      Nb.
    KE	KRYPTON EGG	[ ]	[ ]	[ ]	...
    IS	IKO SAN		[ ]	[ ]	[ ]	...
    DJ	DYNAMITE JOE	[ ]	[ ]	[ ]	...
    VZ	VYRUZ			[ ]	[ ]	...

    DATITA RABESON CD-AUDIO "INDRO"		[ ]     ...
    RYO INAGAKI CD-AUDIO "REFLECTIONS" 	[ ]     ...
    DIMITRI CD-AUDIO "PETIT BOUT DE MONDE"	[ ]     ...
    A2T CD-AUDIO "KESAKO"			[ ]     ...
    TOY "					[ ]	...

    [ ] 1 game ... 29 USD/EUR	[ ] 2 games ... 49 USD/EUR	[ ] 3 games ... 69 USD/EUR
    + Shipping ...  4 USD/EUR

    Any audio CD :
    [ ] 1 CD ...   8.99 USD/EUR
    + Shipping ... 2.51 USD/EUR

    These prices are subject to change without notice.

    C2V                                  Tel : +33 1 40 08 07 07
    B.P. 294                             Fax : +33 1 43 87 35 99
    82, bd Haussmann                     e-mail : games@chiliconvalley.com
    75364 Paris Cedex 08                 Web Site: http://www.chiliconvalley.com
    France