Registration form for Math Bingo V1.1



          Name:_______________________________________

          Address:____________________________________

          City:_______________________________________

          State:____      Zipcode: __________-________

          Country:_________________________




                  Register Math Bingo  _____   ($6.95)
                             OR
                  Order Math Bingo Pro _____  ($9.95)            
              
     PA residents include 6% sales tax _______________

 Overseas residents add $4.00 shipping _______________

                             Total _______________



          Please indicate disk size: 
                              
                              3.5" _____
                             
                             5.25" _____



          Please return this form, along with a check to:


                  LatticeWork Software
                  P. O. Box 362
                  Lafayette Hill, PA 19444



 Math Bingo V1.1 (rh41)