Gameport Secure Ordering Form

This form is for ordering by mail.
Please complete and print this form and send it together with a check to the address below:
MS Electronics - Gameport
8005 W 110th St., Ste 208
Overland Park, KS 66210

Product Description

Product:Computer Terrace for the PC
Platform:PC Game
Price:US $27.95 includes 3.00 for UPS shipping
(US $27.95 includes 3.00 for shipping shipping (UPS Ground) to Canada)
(US $27.95 includes 3.00 for shipping to locations outside of North America)


Personal Information

First Name:
Middle Initial:
Last Name:
Street Address:
Apt/Suite #:
City:
State (U.S. only):
Province (Canada only):
Country:
Zip/Postal Code:
Work Phone: US and Canada xxx-xxx-xxxx
Home Phone: US and Canada xxx-xxx-xxxx
E-mail Address:


Register Software

Upon credit card approval, your credit card will be charged the amount of US $24.95 PLUS shipping costs, your order will be processed and details of this purchase will be sent promptly to the E-mail address above.

Please make sure that your E-mail address is correct!


Your product will be shipped to you in the next few days.

Gameport © 2004-2009 Metropolis, Inc.
For questions or comments email: info@gameport.com.