ORDER FORM

Use File | Print Topic... to print this form.

SEND CHECK OR   Vicky Boyd
MONEY ORDER TO: 855 N. Camino Cordon
                Tucson, AZ 85748

Or register via CompuServe SWREG.
The registration ID for VBPLAY$.VBX is 8581 and at $20,
it saves you $5.00!  The registered version will then
be sent via CompuServe e-mail.

CompuServe: 73501,3662

Name
_________________________________________________________
Company
_________________________________________________________
Address
_________________________________________________________

_________________________________________________________

City  ______________________________________

State  ______________  Zip  ________

Phone

(_________)______________________________

Country  ____________________

E-Mail Address(es)
_________________________________________________________

Please circle disk size 5 1/4

                        3 1/2

Program Name Qty               Total Cost
------------ ---- -----------  --------------

VBPLAY$.VBX  ____  x $25.00 =  ______________

Arizona Residents Add 5.0% Tax ______________

                   GRAND TOTAL ______________
