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
10661 Rene St.
Lenexa, KS 66215

Product Description

Product:Little
Platform:PCGames
Price:US $25.00 includes 5.00 for UPS shipping


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 $20.00 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: [email protected].