=============================================================================
	   CODE BUILDER VERSION 2 by SHANE JACOBSON  ORDER FORM
=============================================================================


Name (please print)__________________________________________________________

Address _____________________________________________________________________

Address _____________________________________________________________________
									     
City ____________________________ St. __________ ZIP Code ___________________

Phone/Fax _________________________

Note: Please enclose $ 25.00 To register and recieve Code Builder ver 2.
      Payment must be in U.S. dollars and drawn against a U.S. bank.
      Please do not send cash! Please send Check or Money Order.
      Washington Residents add Sales Tax.

Mail to:  SHANE JACOBSON             
	  ATTN: CB2
	  8417 17th ST SE             
	  EVERETT, WA 98205      

Make checks payable to "SHANE JACOBSON". Allow up to four weeks for delivery.

Where did you get Code Builder ver 2.0?

[ ] CompuServe
[ ] America Online
[ ] Other BBS -- Please write name:
[ ] Other:___________________________________________________________________

DISK SIZE: [ ] 3.5-1.4M  [ ] 5.25-1.2M

COMPUTER:  [ ] PENTIUM/586  [ ] 486  [ ] 386  [ ] 286  [ ] Other:____________


What do you like or dislike about Code builder ver 2.0.?

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Thank You For Your Support!


