INSTANT REGISTRATION FORM Just copy this file to your printer, fold, tape, and mail. See the file CIPHERWN.TXT for program descriptions. Quantity Description Price Total +--------+------------------------------+-----+-----+ Cipher for Windows | | "Deluxe" Cipher for Windows | $22 | | v1.0 was acquired +--------+------------------------------+-----+-----+ from: | | Cipher for Windows | $15 | | +--------+------------------------------+-----+-----+ [ ] Xevious BBS | | Cipher puzzle collections: | $5 | | [ ] friend | | 3 available with over 200 | per | | [ ] free BBS | | puzzles per disk | disk| | [ ] pay BBS +--------+------------------------------+-----+-----+ [ ] disk vendor | | "Deluxe" EGATrek | $22 | | [ ] user group +--------+------------------------------+-----+-----+ [ ] other | | EGATrek | $15 | | +--------+------------------------------+-----+-----+ Name of vendor, | | "Deluxe" Mah Jongg | $22 | | BBS, etc.: +--------+------------------------------+-----+-----+ | | Mah Jongg | $15 | | __________________ +--------+------------------------------+-----+-----+ | | additional Mah Jongg tiles | $5 | | SEND TO: +--------+------------------------------+-----+-----+ Nels Anderson | | "Deluxe" Shooting Gallery | $22 | | 92 Bishop Drive +--------+------------------------------+-----+-----+ Framingham, MA | | Shooting Gallery | $15 | | 01701 U.S.A. +--------+------------------------------+-----+-----+ | | "Deluxe" SuperFly | $22 | | SHIPPING: $2 for +--------+------------------------------+-----+-----+ any number of non- | | SuperFly | $15 | | deluxe programs. +--------+------------------------------+-----+-----+ $4 for deluxe ver- | | BassMap | $10 | | sions and shipping +--------+------------------------------+-----+-----+ outside of North | | Charge for each 3.5" disk | $2 | | America. +--------+------------------------------+-----+-----+ | SHIPPING/HANDLING @ $2 OR $4 |$2/$4| | <-----+ +-----+-----+ Minimum credit card order: $15 TOTAL | | Make checks payable to: Nels Anderson +-----+ Disk Size: ___ 5.25" ___ 3.5" (add $2 extra for each 3.5" disk ordered) ^^^^ Payment: _____ Check (U.S. funds only) ______ VISA ______ MasterCard Card Number: ______ ______ ______ ______ Expiration Date: ____________ Signature: _________________________ (credit card orders must be signed) Name: __________________________________________________________________ Address: _______________________________________________________________ City/State/Zip: ________________________________________________________ Comments, suggestions: Cipher for Windows v1.0 +-----+ |Place| |Stamp| |Here!| +-----+ Nels Anderson 92 Bishop Drive Framingham, MA 01701-6515 U.S.A.