Order Form Order Form – Kalia Games Order Form – Kalia Games Full Name Email Address Phone Number Select Game Game 1 – $4.99 Game 2 – $9.99 Game 3 – $14.99 Quantity Shipping Address City Zip Code Payment Method Credit Card PayPal Other Credit Card Number Expiration Date CVV Order Summary Game: Game 1 – $4.99 Quantity: 1 Total: $4.99