Composite Index © TM - Fax Order Form

Instructions:

Method 1: Manual Fax
  • Fill out the form in your browser
  • Print the page from your browser program
  • Feed it manually through a fax machine

    • Fax Orders to:
    Kirkland Games Ltd.
    1 - 705 - 567 - 4364

    		 Method 2: Fax Modem
  • Fill out the form in your browser
  • Disconnect from the Internet
  • Print the form to your Fax Modem
  • OR
  • Save this page as a HTML file
  • Open it in your browser off-line later
  • Fill out the form in your browser
  • Print the form to your Fax Modem
    		•

    First Name:
    Last Name:
    Street Address:
    Apt.#:
    City:
    Province/State:
    Country:
    Postal/ZIP Code:
    Phone Number:
    (Include your area code!)
    Quantity:

    Thank you for ordering the Composite Index © TM game.
    We will call you to verify your order and credit information.

    Kirkland Games Ltd.


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