                    *****  ORDER AND REGISTRATION FORM  *****

Name (Please Print) ______________________________________________________

Address __________________________________________________________________

        __________________________________________________________________

        __________________________________________________________________

City _________________________ State/Province __________ ZIP _____________

Country (if not USA) ____________________ Phone __________________________

SOFTWARE ONLY COMES IN 3.5" DISK SIZE

[ ] GAMEPAK 2  $5 PER COPY*

Other Titles:

[ ] COLORS v1.0  $5 PER COPY* 
[ ] GAMEPAK 1    $5 PER COPY* 
[ ] KIDSPAK 1    $5 PER COPY* 
[ ] DUNGEON ESCAPE 2  $5 PER COPY*

* $4 FOR REGISTERED USERS OF ANY OF MY OTHER TITLES

SHIPPING CHARGES:
[ ] USA: $2  Each additional item add $1
[ ] CANADA & MEXICO: $3  Each additional item add $1
[ ] All other countries: $5  Each additional item add $2

Total Payment: $_________ **

** Note: CALIFORNIA residents must include sales tax of 8.25%
       : Payment must be in U.S. dollars and drawn against a U.S. bank.
       : Please do not send cash!

Make checks payable to "Edwin Chiu".  Allow up to two weeks for delivery.

Mail to:  Edwin Chiu          
          P.O. Box 4945
          San Dimas, CA 91773 

Signature:   ________________________


Comments:

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                              *** Thank you! ***
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