BrickBreaker II Order Form ========================== Payments: ========= Payments must be in US Dollars. Option 1) Registered Number (Password) for Brick Breaker II... $4.50 Overseas postage plus............................... $0.50 You will receive your own Registered Number after the paymemt is received. Thank you!! Option 2) BrickBreaker Professional TURBO version in a disk. Brick Breaker with detailed manual.... $8.50 per copy Overseas shipping plus................ $3.00 specify your disk size: ____ 5.25" ____ 3.5" You will receive the Professional TURBO version of BrickBreaker after the paymemt is received. Thank you!! Make your check payable to Shihwei Yu Send it to: 915 Ashland Rd. Apt. 16 Columbia, MO 65201 USA Your Name : __________________________________________________ Your Address: __________________________________________________ City: ___________________________ State: _______________ Country: _______________________ Post/Zip Code: ___________ Your Option: ____ Password for BrickbreakerII only ____ Professional TURBO version package Please select your disk size ___3.5" or ___5.25" Amount Enclosed : U.S. $___________________________________