ORDER BELOW:
Unlocked Version of  software will be emailed to you after payment is recieved (scoreboard will be unlocked and ads will be removed)
Pay By PAYPAL:

I am accepting PayPal , by donation only.
Donate some cash and you will get the Unlocked version of the game emailed to you.
(Donations are non-refundable).

 ~NONE~



PAY BY CHECK

CENTROID
$10.00 US

(ONLY VALID WITHIN THE UNITED STATES!)


Personal Info (Game will be emailed to you)*

Full Name: 
Street: 
City: 
State: 
Zip: 


Checking Info (as appears on your check)*

Full Name: 
Street: 
City: 
State: 
Zip: 

Bank Name: 
Street: 
City: 
State: 
Zip: 

Check No. (top right corner of check): 
9-Digit Routing Number (bottomleft): 
Account Number: 
Email (must be valid): 


- Email CENTROID (to address above) once my check has cleared.

CHECK BOX BELOW (to confirm your order):
- I hereby authorize this transaction for the amount of $10.00 for CENTROID
(Memo on checking account statement will say "software")

If you run into any problems submitting this form, feel free to mail me at: klank98@yahoo.com