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|                       RHINO VENTURES Order Form                            |
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|  Name:______________________________________________________________       |
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|  Address:___________________________________________________________       |
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|  City:____________________________ State:________ ZIP:______________       |
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|  TEL:(_______)____________________ E-mail:__________________________       |
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|                                     |          |         |                 |
|              Product                | Quantity |  Each @ |     Total       |
|                                     |          |         |                 |
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| GOLEM: The Game of Mad Scientists,  |          | $15.00  |                 |
|         Monsters, and Mayhem        |          |         |                 |
+-------------------------------------+----------+---------+-----------------+
| GOLEM T-shirt: Adult Large          |          | $10.00  |                 |
+-------------------------------------+----------+---------+-----------------+
| GOLEM T-shirt: Adult Extra-Large    |          | $10.00  |                 |
+-------------------------------------+----------+---------+-----------------+
| GOLEM Web Slab Special              |          | $20.00  |                 |
|    Game + Adult Large T-shirt       |          |         |                 |
+-------------------------------------+----------+---------+-----------------+
| GOLEM Web Slab Special              |          | $20.00  |                 |
|    Game + Adult Extra-Large T-shirt |          |         |                 |
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| Shipping and Handling               |     US: $5.00      |                 |
|                                     | CANADA: $7.00      |                 |
|                                     |  OTHER: PLEASE ASK |                 |
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| Total:                                                   |                 |
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|                     Prices are in United States currency.                  |
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|  Make check/money order payable to:    Rhino Ventures                      |
|                                        3901 Heritage Hills Dr. #112        |
|                                        Bloomington, MN 55437-2618          |
|                                        TEL: 952-835-1064                   |
|                                        E-Mail: brandon@rhinoventures.com   |
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|                      Please allow 3 weeks for delivery.                    |
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| Updated: June 25, 2002                                                     |
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