SOFTWARE AVENUE, INC. ORDER FORM  
                         for "YOUR NUMBER GAME"

Name (please print) ________________________________________________________

Address ____________________________________________________________________

City _________________________ State/Province __________ ZIP _______________

Country (if not USA) ____________________ Phone/Fax ________________________

Child's First Name _________________________________________________________
(For customized orders)


DISK SIZE:  [ ] 3.5" HD    [ ] 5.25" HD


Registration of all three 
   learning levels                        $19.95

[ ] Customized to say child's name        $10.00
   (Total cost for each customized
    order is $29.95)

SHIPPING CHARGES:
[ ] USA: $4 
[ ] All other countries: $10 

Shipping and handling charges:         $____________

Arizona sales tax:                     $____________ (ARIZONA RESIDENTS MUST 
                                                      ADD CORRECT SALES TAX)
Total amount enclosed:                 $____________

Mail to:  Software Avenue,Inc.   USA Voice Orders: 1-800-813-0876
          Post Office Box 1324   International Orders: mail this form to us
          Gilbert, AZ  85234     or call our order center at 602-813-0876.
                                 Note: Our order takers speak only English.
                                 

Check your card:  [ ] Visa  [ ] MasterCard

Card number: ________________________________________ Exp: ___/___ (MM/YY)

Signature:   ________________________________________ *** Thank you! ***

Make checks payable to "Software Avenue, Inc."  Foreign orders must be paid
in US currency. You may send a check drawn on a US bank, American Express 
traveller's checques, an American Express money order, or an international
postal money order.  DO NOT SEND FOREIGN CHECKS OR CURRENCY.  Please allow
four to six weeks for delivery.

Where did you get the shareware version of "YOUR NUMBER GAME"?

[ ] Downloaded from a BBS: BBS Name______________________________
[ ] Shareware Catalog Vendor: Vendor Name:_______________________
[ ] Retail Shareware Rack: Rack Vendor Name:_____________________ 
[ ] Ordered it from us 
[ ] A friend gave it to me 
[ ] Other:_______________________________________________________