(WAS)  SUPER ARCADE ORDER FORM (c)1995  E-Mail: tipstir@aol.com

US customers each game is $6.00 + $1.55 S+H = $7.55  US funds!

O-Add $5.00 S+H=$11.00 USD for those of you who live outside the USA

Fill in the circle for your selection below;

O-BB-16

O-120mm Cannon

O-Super Shooter

O-Super Robar Model 01

O-Super Space Bomb

O-Super Ghost Cemetery

O-Super DinoEgg

O-Thy Super Archer

O-Thy Super Knight

O-Thy Super Dragon

O-Baby Brats Super Play Room

O-Pick any 04 games for $20 US + $3.00 S+H US = $23.00 US

O-Pick any 07 games for $35 US + $3.00 S+H US = $38.00 US

O-Pick any 11 games for $49 US + $3.00 S+H US = $52.00 US

O-Add $5.00 S+H USD for those of you who live outside the USA

____Total selected  & Total amount enclosed $_____._____ US FUNDS ONLY!

Mail this form to:

 Albert C. Ashton

 19395 Liberty Rd

 Boca Raton, FL 33434-2644

Please make your Check or Money Order payable to: Albert C. Ashton

Any questions please call  (407) 487-7572 (voice only)

(Please fill in below and send this form to above address)

_______________________________________________________________________

Name

_______________________________________________________________________

Address

_______________________________________________________________________

City                                   State                               Zip

_______________________________________________________________________

Phone                                                                     Fax

_______________________________________________________________________

Any additional games you would like to add on to your registration today?

_______________________________________________________________________

What is your online screen name from (AOL)  or Internet address name?)

Where did you hear about us from? (Online Forum Service, CD-ROM, BBS etc..?)

_______________________________________________________________________

What type of computer do you have 386, 486, P5, P6? Sound Card 8 or 16 Bit?

US.FORM REV.1995. (WAS)  SUPER  ARCADE SERIES  6/95