ORDER FORM FOR THE WALL OF WISDOM Send order form to: Jimmy Rose 2000 Linden Ave. Middletown, OH 45044-4435 USA $10 to register The Wall of Wisdom ($8 + $2 P/H) Please note, this price is only guarenteed till Dec 31, 1994. >>> Make Check or Money Order payable to: Jimmy Rose <<< ORDER FORM ---------------------------- CUT HERE ---------------------------------- PLEASE PRINT CLEARLY Name:_____________________________________________________ Company:__________________________________________________ Street address:___________________________________________ City/State:___________________________ ZIP code:__________ Country:__________________________________________________ The following information is optional Phone:________________________ FAX:_______________________ Age:_____________ Occupation:_____________________________ ** Following are network addresses for various networks, ** If you have an address for a network please enter it: FidoNet:__________________________________________________ InterNet:_________________________________________________ CompuServe:_______________________________________________ Other:____________________________________________________ ** If you operate a BBS, fill out the next fields: BBS Name:________________________________________________ BBS Software:____________________________________________ BBS phone number(s): _________________________________________________________ ** Please tell us about your computer: ** Machine type: [ ] 386SX Processor speed:________MHz [ ] 386DX [ ] 486SX Type of Printer:___________ [ ] 486DX [ ] Pentium [ ] other:__________________________ RAM:_______MB Harddisk:________MB ** Please tell us what version (if any) of listed software you have on your computer: DOS__________ WINDOWS__________ OS/2____________ ** Please tell us where you discovered The Wall of Wisdom ________________________________________________________ ________________________________________________________ ** Please insert your comments about The Wall of Wisdom _________________________________________________________ _________________________________________________________ _________________________________________________________