REGISTRATION / ORDER FORM

                            MATH-SHOP 1 (whole #'s)
                            MATH-SHOP 2 (fractions)
                            MATH-SHOP 3 (decimals)


                                  Jack C Webb
                                  P.O. Box 357
                         Grand Blanc, Michigan 48439-0357



          Item                         Quantity    Price        Extension
        ------------------------------------------------------------------

        INDIVIDUAL REGISTER/ORDER
          MATH-SHOP 1                    ___       $10.00      $__________
          MATH-SHOP 2                    ___       $10.00      $__________
          MATH-SHOP 3                    ___       $10.00      $__________
          Any two                        ___       $15.00      $__________
          All three                      ___       $20.00      $__________

        SCHOOL / INSTITUTION 
         REGISTER/ORDER PER SITE
          MATH-SHOP 1                    ___       $25.00      $__________
          MATH-SHOP 2                    ___       $25.00      $__________
          MATH-SHOP 3                    ___       $25.00      $__________
          Any two                        ___       $35.00      $__________
          All three                      ___       $50.00      $__________



        If ordering please indicate
        disk size and include $1.50                  P & H     $__________
        for postage & handling
        (for each set of 1 to 3 disks)               Total     $__________


        Disk size:  ___ 5.25
                    ___ 3.5



          Please make checks payable to:  Jack C Webb



          Registrant Name________________________________________________

          Address________________________________________________________

          Address________________________________________________________

          City_______________________________State___________Zip_________

          Phone (______)_____________________________