INSTANT REGISTRATION FORM Just copy this file to your printer, fold, tape, and mail. Quantity Description Price Total +--------+------------------------------+-----+-----+ Picture Puzzle a | | Picture Puzzle Deluxe | $22 | | was acquired from: | | Binder, Manual & 10 Puzzles | | | +--------+------------------------------+-----+-----+ | | Picture Puzzle - 10 Puzzles | $15 | | [ ] Friend +--------+------------------------------+-----+-----+ [ ] Free BBS | | 10 Puzzle collection #2 | $10 | | [ ] Pay BBS +--------+------------------------------+-----+-----+ [ ] Disk Vendor | | 10 Puzzle collection #3 | $10 | | [ ] User Group +--------+------------------------------+-----+-----+ [ ] Other | | 10 Puzzle collection #4 | $10 | | +--------+------------------------------+-----+-----+ SHIPPING: $2 if | | | | | ordering only non- +--------+------------------------------+-----+-----+ deluxe programs. | | Extra charge for 3.5" disks | $2 | | $4 for deluxe ver- +--------+------------------------------+-----+-----+ sions and shipping SHIPPING/HANDLING |$2/$4| | outside of North +-----+-----+ America. Minimum credit card order: $15 TOTAL | | Make checks payable to: Software Creations +-----+ 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: ________________________________________________________ PICTURE PUZZLE +-----+ |Place| |Stamp| |Here!| +-----+ Software Creations 26 Harris St. Clinton, MA 01510