PICTURE MIX Order Form
=====================================================================

Name _______________________________________________________

Address ____________________________________________________

City ______________________ State ______ ZIP Code __________


Please mark product desired bellow.  If more than 1 copy
or a particular puzzle desired please indicate how many.


[  ] Swimsuit Picture Puzzle .................. $ 15   

[  ] Nude Picture Puzzle ...................... $ 15

[  ] Both Swimsuit & Nude Picture Puzzles ..... $ 22

[  ] Swimsuit Picture Puzzles & Swimsuit Full 
     size (640 X 480 X 256 Colors or better) 
     with ShareWare Viewer .................... $ 25

[  ] Nude Picture Puzzles & Nude Full size
     (640 X 480 X 256 Colors or better) 
     with ShareWare Viewer .................... $ 25

[  ] Swimsuit Picture Puzzles, Swimsuit Full 
     size, Nude Picture Puzzles, and Nude full
     size with with ShareWare Viewer .......... $ 40


                                 Sub-Total $ ________

                Texas orders add 8.25% Tax $ ________

                                     Total $ ________


                   Check #/Money Order #/Etc ________


Please select disk size:

   [  ] 5.25 (1.2MB Disks)   [  ] 3.5 (1.44MB Disks)   


NOTE:  If ordering any of the Nude Puzzles/Full Size you
       must complete form bellow.

       Name: _____________________________________

       
       Birthdate: __________________ Age: ________  

       
       Signature: ________________________________


Send Form & Payment to : AES Services
                         PO BOX 1182
                         Angleton, TX 77515

We ship all orders 1st class, and processing usually takes 
1 to 2 days.  Thank you for your business.