| (Ship to) Name: | |
| Address: | |
| E-mail address: |
| MULTIGAME.COM Order Form (print out and fill in) | |||
|---|---|---|---|
| Quantity | Description | Price Per | Amount |
| Q*Bert
Multigame(s) |
$149.00 | ||
| Sega Multigame(s) |
$99.00 | ||
| Tempest Multigame(s) (a small run of these are available again-- first come first served!) |
$129.00 | ||
| Star Wars/ESB Multigame(s) |
$149.00 | ||
| Williams Multigame(s) |
$139.00 | ||
| Williams Multigame JAMMA cardedge |
$10.00 | ||
| Pacman 284 Daughtercard(s) (VRAM Addresser - Discount ONLY for 4+ of the same item) |
$20.00 | ||
| Pacman 285 Daughtercard(s) (Sync Bus Controller - Discount ONLY for 4+ of the same item) |
$20.00 | ||
| Wells Gardner Display Corrector(s) (available once again! VERY limited quantities... e-mail to confirm!) |
$45.00 | ||
| Atari AVG Chip replacement (137179-001) |
$35.00 | ||
| Nintendo to JAMMA Adapters (with amp and
video conversion) (Donkey Kong, Mario Bros., Popeye, Donkey Kong Jr. etc) |
$50.00 | ||
| Nintendo to JAMMA Adapters (with amp and
video conversion) (Deluxe Version with RGB adjust and high-speed op-amps)) |
$55.00 | ||
| Capcom to JAMMA Adapters (Commando, Ghosts N Goblins, Gunsmoke, Legendary Wings, etc.) |
$25.00 | ||
| Nichibutsu to JAMMA Adapters (Mag Max, Terra Cresta, UFO Robo Dangar, etc.) |
$25.00 | ||
| Sega
System 16 and 24 to JAMMA Adapters (Golden Axe, Shinobi, Aurail, Altered Beast, etc.) |
$20.00 | ||
| Konami
36 pin to JAMMA Adapters (Time Pilot, Gyruss, Track and Field, Pooyan, Scramble, etc.) |
$25.00 | ||
| Other: |
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| Shipping
and Handling (US Only - email for others!) (Covers up to four Pacman daughtercards) |
+ $7.00 | ||
| Additional Shipping (add for every additional kit) | + $2.00 | ||
Due to the "do-it-yourself" nature of these items and potential for damage if you do things wrong, all sales are final. Although kits are 100% tested and working when shipped they are sold as-is. Repair services are available if a kit fails, but it is NOT a free service. |
Total Remitted | ||
| All funds must be remitted in US Dollars. Cash, Cashier's Check, Money Order or Personal Check. Due to fluctuating demand (and only one of me), your kits may take up to 4-10 weeks to ship. (Most will go out much sooner, but backlogs, parts shortages, and my "day job" can effect shipping time.) All kits are shipped fully insured and tracked by UPS Ground service unless otherwise arranged. Rush service may be available in some cases-- send e-mail for more information. | |||
Please send Payment and this order form to: |