3D STARS & STRIPES 98 U.K. ORDER FORM

          Name             ________________________

          Company          ________________________

          Address          ________________________

          City             ________________________

          Postal Code      ________________________

          Country          ________________________

          Phone            ________________________

          EMAIL ADDRESS    ________________________
                         If you include your email address, we can
                         send you the registration code immediately.

     DISK SIZE:  (  ) 3-1/2"   (  ) CD-ROM

     I AM ORDERING:
        (  ) 3D STARS & STRIPES           (œ12)
        (  ) 3D WILD DIAMONDS             (œ12)
        (  ) 3D HOTSLOTS                  (œ12)
        (  ) ANY TWO ABOVE - MARK CHOICES (œ19)
        (  ) ANY THREE SLOT GAMES         (œ23)

     INTERNATIONAL ORDERS
     --------------------
     Please add œ2.00 for shipping if you live outside the United
     Kingdom (no charge for shipping within the U.K.).

     Amount Enclosed: œ_________

     Make your check or money order payable to Gamescape Studios.

     Mail payment and registration form to:    Gamescape Studios,
                                               Egloshayle,
                                               Wadebridge,
                                               Cornwall,
                                               United Kingdom,
                                               PL27 6AX
     Payment Method:
                     ___ Check   ___ Money Order   ___ VISA   ___ MasterCard

     Credit Card Number #_____ - _____ - _____ - _____   expires ____/____

     For credit card orders:  Call 01208 816323   (UK and Ireland)
                                   1-541-664-1885 (International)
                                   1-541-664-3403 (FAX)