Paper order to receive
the Templar Cult Investigation

Please print out, then fill up and send back by Post to :

MERSI
BP N° 7 - 78350 Les Loges en Josas (France)

YES, send to me _____ CD-ROM(s) for PC computer, entitled
"ORDER OF TEMPLARS, the strange worship of the magic head
at the following address:

LAST NAME, FIRST NAME:

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ADDRESS:

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ZIP CODE:                CITY:

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COUNTRY:

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Email:

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Please find here enclosed $59 USD per CD-ROM
(handling charges and shipment included), that is to say, the total sum: $______________USD

France or EEC Zone: by check or postal money order in Euros
Other Countries: by international money order in Euros

Payable to: MERSI

Date:                            Signature:

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