------------------------------------------------------------------------- | WINBRIDGE - PIK A PROGRAM ORDER FORM | ------------------------------------------------------------------------- You may mail, fax, e-mail, or phone in your order. We can now even accept your checks over the phone (USA only please)! Send the completed registration form, along with payment to Pik A Program, Inc. at: Pik A Program (tm) TOLL FREE (ORDERS ONLY): 1-800-TOREGISTER 1-800-445-3346 13 Saint Marks Place Telephone (212) 598-4939 NY, NY 10003 USA Fax (212) 228-5879 USA Compuserve: 73730,2117 Internet: 73730.2117@CompuServe.COM __________________________________________________________________________ (Name) __________________________________________________________________________ (Company) __________________________________________________________________________ (Street1) __________________________________________________________________________ (Street2) __________________________________________________________________________ (Town) (State) (Zip) __________________________________________________________________________ (Telephone) (Fax) (Country if outside USA) The registered version allows you to save any options that you change. You can also save the size and position of the WinBridge window when you leave the game and automatically restore them when you next use it. You will be notified of future releases of the registered game, and will be able to purchase them at a substantial discount. You can contact the author to report problems with the play, and, possibly, have your own preferences included in the next release. Additional features in the registered program include entering hands, replaying a trick and controlling the start of the next trick. You will also get a diskette containing the latest version of the program. Shipping within North America is $4.00 for your entire order, whether you order 1 or 100 items. QUANTITY ITEM PRICE EACH TOTAL -------------------------------------------------------------------------- WinBridge US $29.95 US$ -------------------------------------------------------------------------- -------------------------------------------------------------------------- Shipping $4.00 -------------------------------------------------------------------------- TAX (NYS residents only) 8.25% -------------------------------------------------------------------------- TOTAL: US$ ================ Orders are sent on 3.5" high density diskettes unless otherwise requested. Prices guaranteed through December 1995. I am paying by: ( ) CHECK ( ) VISACARD ( ) MASTERCARD ( ) AMERICAN EXPRESS ( ) CASH (by registered mail only, please) ( ) DISCOVER CARD Number ______-______-______-______ Exp. date ___-___ ________________________________________________ ______-______-______ (Signature) (Date) THANK YOU FOR REGISTERING YOUR SHAREWARE! Important: If you are ordering by mail or fax, please completely fill out this form and send it in. If you are sending a check or money order, please make sure that payment is made in US funds drawn on a US bank. For registered users of any program which Pik A Program distributes, who do not already have access to Compuserve, we can supply a FREE Compuserve membership with a $15.00 usage credit. This is much more than enough online time to have your technical support questions answered, and still have some fun! For those who do not have access to a modem, we offer special pay by the minute telephone support. This is available to registered and non-registered users of our programs, but registered users get a discount. Call us for information. We would appreciate it if you would tell us where did you first heard about this program. Thanks for your cooperation. [] BBS - which one?______________________________________ [] Friend [] retail store package [] CD-ROM - which one?___________________________________ [] magazine - which one?_________________________________ [] other - ______________________________________________