CD Play
                               Product Order Form
        
        Name: __________________________________________________________
        
        Address: _______________________________________________________
        
        City: _____________________________ State: _____________________
        
        Zip: ____________________
        
        
        Version you are registering _____________
        
        MEDIA:  As of 9/1/92, all copies of this program are shipped  on  3.5" 
        720K diskettes.  Users requesting 5.25" diskettes must add $1 per 5.25" 
        copy to cover extra mailing costs.
        
                                    ______ units @ __$10__ ea. = _______
        
        Quantity Discounts!                           + shipping    3.00
        # copies    % discount               +$1 for each 5.25"  _______
          3-9           5%
         10-20         10%                               TOTAL   _______
         21-50         15%
         51-100        20%
          101+         25%
        
        Send your Check/Money Order payable to Randy Rathbun to:
             
             Randy Rathbun
             18602 Cheyenne Drive
             Independence, MO  64056-2082
        
        International orders must be in United States Funds ONLY.  Inter-
        national orders should add $3.00US for increased shipping costs.
        
        From  where  did you receive this program? (if a  BBS,  list  its 
        name/phone number: ______________________________________________
        
        
        For our use only:
        PIDNO: ___________________________________________________
        TYPE:  ________