INSTANT REGISTRATION FORM Just copy this file to your printer, fold, tape, and mail. For US orders only; outside US please register direct with author. Quantity Description Price Total +--------+------------------------------+-----+-----+ Blox v10.0 was | | Humbug text adventure | $20 | | acquired from: +--------+------------------------------+-----+-----+ | | Jacaranda Jim text adventure | $15 | | [ ] friend +--------+------------------------------+-----+-----+ [ ] free BBS | | Blox action game | $15 | | [ ] pay BBS +--------+------------------------------+-----+-----+ [ ] disk vendor | | Wilf II action game | $15 | | [ ] user group +--------+------------------------------+-----+-----+ [ ] other SHIPPING/HANDLING | $2 | | Name of vendor, +-----+-----+ BBS, etc.: Minimum credit card order: $15 TOTAL | | Make checks payable to: Nels Anderson +-----+ __________________ SEND REGISTRATION TO: Nels Anderson 92 Bishop Drive Framingham, MA 01701 Disk Size: ___ 5.25" ___ 3.5" (add $2 extra for each 3.5" disk ordered) Payment: _____ Check (U.S. funds only) ______ VISA ______ MasterCard Card Number: _______ _______ _______ _______ Expiration Date: ________ Signature: _________________________ (credit card orders must be signed) Name: __________________________________________________________________ Address: _______________________________________________________________ City/State/Zip: ________________________________________________________ Comments, suggestions: BLOX v10.0 +-----+ |Place| |Stamp| |Here!| +-----+ Nels Anderson 92 Bishop Drive Framingham, MA 01701