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*                          CHAMPROGRAMMING ORDER FORM                          *
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1. NAME AND ADDRESS:                       3. CLASSIC GAMES WISH LIST:

______________________________________         1st _____________________________

______________________________________         2nd _____________________________

______________________________________         3rd _____________________________

Phone: (______)____________ Age: _____         4th _____________________________

Email: _____________@_________________         5th _____________________________

2. HARDWARE PROFILE:                       4.  HOW WERE YOU INTRODUCED TO
   (Describe your computer system)             CHAMPROGRAMMING?

Processor (386/486/Pentium): _________         _________________________________

      Do you use a joystick? _________     5.  WHAT DO YOU LIKE MOST ABOUT
					       CHAMP GAMES?
   Do you have a sound card? _________
					       _________________________________
6. ORDER INFORMATION:
						 CHAMP       
 Quantity  Item Code      Item Description      Credits   Unit Price Total Price
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|        |           |                        |         |          |           |
|________|___________|________________________|_________|__________|___________|
|        |           |                        |         |          |           |
|________|___________|________________________|_________|__________|___________|
|        |           |                        |         |          |           |
|________|___________|________________________|_________|__________|___________|
|        |           |                        |         |          |           |
|________|___________|________________________|_________|__________|___________|
|        |           |                        |         |          |           |
|________|___________|________________________|_________|__________|___________|
|        |           |                        |         |          |           |
|________|___________|________________________|_________|__________|___________|
   ********************************                                |           |
   *    SATISFACTION GUARANTEED   *                      Subtotal: |___________|
   *                              *                                |           |
   * If, for any reason, you are  *     (CT Residents add 6%) Tax: |___________|
   *   not satisfied, write our   *                                |           |
   * Customer Service Department  *                      Shipping: |___________|
   ********************************                                |           |
   $ = ONLY UNITED STATES CURRENCY ACCEPTED!      - CHAMP Coupons: |___________|
								   |           |
   Shipping and Handling:                                   Total: |___________|
    -> $1 for each item ordered.                                    U.S. DOLLARS!
    -> International orders add $2 for each item.           
   All games shipped within 2-4 weeks of purchase!  Advance orders are excluded.

    Send to: CHAMProgramming Inc.
	     34-3 Shunpike Road, #187
	     Cromwell, CT 06416  USA                  THANK YOU FOR YOUR ORDER!


COMPLETE LIST OF CHAMP PRODUCTS AVAILABLE:

ITEM   DESCRIPTION          UNIT       CREDIT     RELEASE DATE
CODE                        PRICE      PRICE
-----------------------------------------------------------------------------
CG01   CHAMP Pac-em         12.95      300        Available Now!
CG02   CHAMP Centipede      14.95      350        Available 11/96
CG03   CHAMP Asteroids      12.95      250        Available 11/96
CG04   CHAMP Ms. Pac-em     14.95      400        Available Now!
CG05   CHAMP Galaxia        12.95      300        Available Now!
CG06   CHAMP Kong           17.95      500        Available Now!
CG07   CHAMP Galagon        17.95      500        Available 12/96
CG08   CHAMP Invaders       12.95      250        Available 12/96
CG99   CHAMP Cable          17.95      450        Available Now!

-----------------
| CHAMP Credits |
-----------------
For each game you purchase, you earn 100 CHAMP Credits which can be used
on future purchases.  If you purchase more than one game at once, you
are also awarded BONUS CHAMP Credits.  The following table summarizes the
CHAMP Credits earned for a purchase:

# OF GAMES      CHAMP           BONUS           TOTAL
ORDERED         CREDITS         CREDITS         CREDITS
----------------------------------------------------------
1               100             0               100
2               200             50              250
3               300             100             400
4               400             200             600
5 or more       Add 100 each    Add 50 each     Add 150 each

HOW DO I USE CHAMP CREDITS?

To use your CHAMP Credits, simply fill out your order form and make sure to
write the number of credits for the game in the 'CHAMP Credits' column.  Only
fill in the 'Unit Price' column for the games you are sending money for.

You can also use your CHAMP Credits on-line at the CHAMProgramming Web Site, 
located at:

	http://www.champgames.com


To verify your credits with our accounting department, or for any other
questions about CHAMP Credits, please E-mail us at

	credits@champgames.com

Thank you for your support.