Minds Refined LLC / www.mindsrefined.com
	
	Order Form for Art Dealer 2.0
	                          
	
	Name:    ________________________________________________________________
	
	Address: ________________________________________________________________
	
	City:    __________________________  State: ______  ZIP Code: ___________
	
	Email (optional): _______________________________________________________
	
	
	Indicate the number of Art Dealer CDs you wish to purchase keeping in
	mind that each CD is licensed to be installed on one computer only. 
	
	
	Item: Art Dealer 2.0     Price per copy: $19.95      Quantity: __________
	
	                             Item total (Quantity X $19.95): $ __________
	
	                                 Shipping & Handling (S&H) : $ __________
	          ($3.50 for 1st CD, $1.00 for each additional CD)
	
	                                Subtotal (Item total + S&H): $ __________
	
	                          NC residents: Add 6.75% Sales Tax: $ __________
	
	
	                               TOTAL ORDER (Subtotal + Tax): $ __________
	 
	
	[ ] Cash (US Dollars only).
	
	[ ] Certified Check or Money Order in US Dollars payable to "Minds Refined"
	
	[ ] Credit Card:  [ ] VISA    [ ] MasterCard    [ ] Amex    [ ] Diners Club
	
	
	Name on Card: _________________________________________________________
	
	Card Number:  _____________________________________ Exp Date: ____/____
	
	Signature:    _________________________________________________________
	
	
	Mail to:  Minds Refined LLC
	          3435 Sea Eagle Court
	          Wilmington, NC 28409-2536
	
	
	Your CD(s) will be shipped first class by the United States Postal Service.
	
	Thank you for your order!!!
	
	And please tell us what you think of our games at feedback@mindsrefined.com!