Registration and Order Form ___ I would like to register my version of Sage Video Poker Simulator. (You will be sent the registered version upon receipt of the registration fee). Software cost = $10.00. Shipping & Handling = $1.00 ($2.00 outside the U.S. and Canada). ___ I would like to register, but send me Sage Video Poker in place of the Simulator. Software cost = $25.00. Shipping & Handling = $1.00 ($2.00 outside the U.S. and Canada). Disk type: ___ 5.25 ___ 3.5 Software Total $____________ Shipping & Handling $____________ Total $____________ Send check or money order to: Sage Software PO Box 7223 Huntsville, AL 35807 (205) 830-9364 ------------------------- Credit card orders ------------------------------- We now accept MasterCard and Visa Card Number ________________________________ Card Member ________________________________ Expiration Date ____________________________ You can also call us at (205) 830-9364 from 9:00 AM - 5:00 PM CST, Monday - Friday ---------------------------------------------------------------------------- Please print your name and address clearly to avoid delays. Your Name: ______________________________________ Address: ______________________________________ ______________________________________ ______________________________________ Shareware Survey: How did this product come to your attention? ___1. From a shareware vendor (name) ___________________________________ ___2. From our Web Page ___2. From a BBS (name) ___________________________________ ___3. From a friend. ___4. Other (please specify) ___________________________________