ThrustMaster®, Inc. Order Form
10150 SW Nimbus Avenue • Portland, OR • USA • 97223-4337
Retail Orders: (503) 639-3200 x3420 • FAX: (503) 620-8094
Internet: orders@thrustmaster.com
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To place an order please provide the information below.  You may
mail, Fax, or E- Mail this form.
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Last Name: _________________________ First Name: ________________

E- Mail Address: ________________________________________________

Address: ________________________________________________________

Address: ________________________________________________________

City: __________________________ State/Province: ________________

Country: __________________ Zip/Postal Code: ____________________

Daytime Phone#: (   )____________ Alt Phone/Fax: (   )___________

Credit Card#: ____________________________ Exp. Date: ___________

( ) Visa - ( ) MasterCard - ( ) American Express  (Check One)

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Product (check all that apply)          Price            Shipping
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( ) FCS II                             $99.95             $7.72   
( ) PFCS                               $149.95            $7.72       
( ) F-16 FLCS                          $199.95            $7.72
( ) F-16 FLCS Limited Edition          $499.95            $14.31
( ) WCS Mark II                        $149.95            $7.72
( ) ACM Game Card                      $39.95             $6.12
( ) RCS                                $149.95            $12.78 
( ) Macintosh FCS                      $149.95            $7.72                 
( ) Macintosh WCS                      $99.95             $7.72
( ) Formula T2                         $179.95            $12.78   
( ) Pro Play Golf                      $799.95            $35.73
( ) XL Action Controller               $39.95             $6.12
( ) F-16 TQS                           $199.95            $7.72
( ) Wizzard Pinball                    $39.95             $7.72
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NOTE:
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•All Products ordered direct are sold at Manufactures SRP.
•Shipping rates are for U.S. and Canada only, International rates
 vary - Call, Fax, or E- Mail(orders@thrustmaster.com) for rates.
•Prices and shipping are subject to change without notice so
 please verify when placing order.
•Checks are subject to a 10 business day clearing period.
•Allow 3 - 10 days for delivery.
•Funds must be in U.S. currency.
•Do not send cash