INSTANT REGISTRATION FORM Just copy this file to your printer, fold, tape, and mail. Order FAX line: 508-788-1363 (24 hours a day). See the file DRAGON.TXT or run CATALOG.EXE for program descriptions. Quantity Description Price Total Dragons Bane: +--------+----------------------------+-----+-----+ Mah Jongg II v1.2 | | Dragons Bane: Mah Jongg II | $16 | | was acquired from: +--------+----------------------------+-----+-----+ | | "Deluxe" Dragons Bane | $24 | | [ ] friend +--------+----------------------------+-----+-----+ [ ] BBS | | Custom Background Image | $6 | | [ ] online service +--------+----------------------------+-----+-----+ [ ] mail order vendor | | SVGA Tile Collection #1 | $6 | | [ ] rack in store +--------+----------------------------+-----+-----+ [ ] CD-ROM | | SVGA Tile Collection #2 | $6 | | [ ] user group +--------+----------------------------+-----+-----+ [ ] other (describe) | | Second Guess (2nd?) | $16 | | +--------+----------------------------+-----+-----+ Name of vendor, BBS, | | "Deluxe" Second Guess | $24 | | store, etc.: +--------+----------------------------+-----+-----+ | | 2nd? Additions Disk #1 | $6 | | ____________________ +--------+----------------------------+-----+-----+ | | Mah Jongg solitaire | $15 | | Mail to: +--------+----------------------------+-----+-----+ Nels Anderson | | Tile Match | $15 | | 585 Edmands Road +--------+----------------------------+-----+-----+ Framingham MA 01701 | | Shooting Gallery | $15 | | U.S.A. +--------+----------------------------+-----+-----+ | | EGATrek | $15 | | SHIPPING: $2 per +--------+----------------------------+-----+-----+ order, except $4 | | SuperFly | $15 | | for deluxe versions +--------+----------------------------+-----+-----+ or for shipping | | CIPHER | $15 | | outside of North +--------+----------------------------+-----+-----+ America. | $2 | | | TOTAL SHIPPING/HANDLING @ $2 OR $4 | or | | <-----+ | $4 | | All prices are in U.S. dollars +-----+-----+ Minimum credit card order: $15 TOTAL | | Make checks payable to: Nels Anderson +-----+ CIRCLE DISK SIZE: 5.25" 3.5" Payment: _____ Check (U.S. funds only) ______ VISA ______ MasterCard Card Number: _______ _______ _______ _______ Expiration Date: ________ Signature: _________________________ (credit card orders must be signed) Name: __________________________________________________________________ Address: _______________________________________________________________ City/State/Zip: ________________________________________________________ Comments, suggestions: Dragons Bane: Mah Jongg II v1.2 +-----+ |Place| |Stamp| |Here!| +-----+ Nels Anderson 585 Edmands Road Framingham, MA 01701-3088