OSGrid Region Order Form

Contact Information
Name *			City
Company			State
Address			Zip Code
			Country *	Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Barbuda Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia Botswana Br. Virgin Islands Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands (U.K.) Chile China Colombia Congo Cook Islands Costa Rica Croatia Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England (U.K.) Equatorial Guinea Eritrea Estonia Ethiopia Farao Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland, Norhern (U.K.) Ireland, Republic of Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Republic Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netharlands Antilles Netherlands (Holland) New Caledonia New Zealand Nicaragua Niger Nigeria Norway Nuie Oman Pakistan Palau Palestine Authority Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Island Romania Russia Rwanda Saba Saipan Samoa San Marino Saudi Arabia Scotland (U.K.) Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa, Republic of South Korea Spain Sri Lanka St. Barthelemy St. Croix St. Eustatius St. John St. Kitts & Nevis St. Lucia St. Martin / St. Maarten St. Thomas St. Vincent Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wales (U.K.) Wallis & Futuna Islands Yemen, Republic of Yugoslavia Zaire Zambia Zimbabwe
			E-Mail *
Region Order
Type *	Basic Residential Professional		Region Name
Area *	OSGrid - given grid position OSGrid - part of continent OSGrid - isolated island Standalone Region		Grid Pos. X,Y
Mega Reg.	Normal Region 1x2 Mega Region 2x1 Mega Region 2x2 Mega Region 1x3 Mega Region 3x1 Mega Region 2x3 Mega Region 3x2 Mega Region 3x3 Mega Region		Estate Manager *
Terrain *	Default Flat Land Open Water Island		Password
Delivery Date			Comment
HyperGrid			PayPal Money
Voice			Groups
Search			Offline Msgs
* mandatory input fields