AMOEBA WARE REGISTRATION FORM Order Form Your Name _________________________________________ Address _________________________________________ City/State Zip ___________________________________ Your Voice Phone Number __________________________ Your BBS Name ___________________________________ be exact - must match registration # Your BBS Number ___________________________________ Computer Type ___________________________________ BBS SOFTWARE ___________________________________ Are you running Multi Node? ______ Modem Type (Make/Baud,etc) ________________________ Where did you here about AMOEBA WARE ? ____________________________________________________ check one: ____ Nuclear Strike v4.1 ............... $25.00 ____ Klondike Solitaire v4.0 ............ $25.00 ____ Kuwaiti Oil v3.0 ....................$25.00 ____ Discount Package (all 3) ............$50.00 Please enclose a check or money order and send to: ANDREW BROWN Rt #1 Box 125-B Denton, Maryland 21629