PROGRESSIVE PRODUCTS
                        P.O. Box 1575
                    Paso Robles, CA 93447
                   FAX/BBS: (805) 239-7672

                         ORDER FORM
                         ==========

Name________________________________________________________

Street Address______________________________________________

City _____________________________ State ____ ZIP __________

Country (Leave blank for USA) ______________________________

Have you registered with us before? [ ] Yes [ ] No

What software did this order form come with ________________

Where did you obtain this software _________________________

Preferred disk size: [ ] 5.25 1.2MB [ ] 3.5 720KB [ ] 3.5 1.4MB

Programs you are ordering/registering:

[ ] Head Banger #2 Leaping Puzzle Game AND
    Head Banger #1 Sliding Puzzle Game. ___ @  $15.00= _________

                       Calif. residnets add sales tax  _________

                                   Shipping & Handling     $3.00
                                                       =========

                                TOTAL amount enclosed $_________

Payment by:  [ ] Visa  [ ] MasterCard  [ ] Check  [ ] Money Order

Card number: ___________________________________________

Expiration date: _____/_____ (MM/YY)


Signature:   ___________________________________________

Please make check or money order payable to: Progressive Products

Mail to:  Progressive Products
          P.O. Box 1575
          Paso Robles, CA 93447

Or FAX credit card orders to: (805) 239-7672
Or register on our BBS by calling: (805) 239-7672  24 hrs. a day!