© Maxis.
All rights reserved.

Maxis Order Form

Please print this form, fill it out, and FAX it to 510-927-3581 or mail it to:

Maxis
2121 N. California Blvd., Suite 600
Walnut Creek, CA 94596-3572

For telephone orders within the U.S. and Canada, phone 800-33-MAXIS; for telephone orders elsewhere, phone 510-927-3900 or 510-927-3905.

Billing Address

__________________________________________________________
name

__________________________________________________________
school or company

__________________________________________________________
address

__________________________________________________________
city, state, zip

Shipping Address (if different from Billing Address)

__________________________________________________________
name

__________________________________________________________
school or company

__________________________________________________________
address

__________________________________________________________
city, state, zip



product            computer/format    qty.  price   total

_________________  _________________  ____  ______  ______

_________________  _________________  ____  ______  ______

_________________  _________________  ____  ______  ______

_________________  _________________  ____  ______  ______

_________________  _________________  ____  ______  ______

                                          SUBTOTAL  ______

       CA,CO,IL,LA,MA,MD,NC,TX,UT,WA add sales tax  ______

         shipping within U.S. $5.50 for first item  ______

             add 50 cents for each additional item  ______

                      add $3.00 for 2-day delivery  ______

                 add $10.00 for overnight delivery  ______

                                       TOTAL ORDER  ______

Method of Payment

___ check/money order (U.S. funds only; payable to Maxis)

___ purchase order #________ (minimum $50.00 order)

___ VISA

___ MasterCard


_________-_________-_________-_________     _____/_____
card number                                 expiration

_______________________________________
signature (required for credit card orders)

(________) ____________________________
daytime phone (for inquiries about your order; 
               required for 2-day and overnight delivery)

Send Catalog to a Friend?

__________________________________________________________
name

__________________________________________________________
school or company

__________________________________________________________
address

__________________________________________________________
city, state, zip

Source Code: CDSAMPLER