SimoneSystems Software REGISTRATION ORDER FORM

Name _____________________________________________________________
      (Last)                     (First)                  (Middle)

Address __________________________________________________________

City _____________________ State/Province _________ ZIP __________

Country (if not USA) ________________________ Phone ______________

Where you obtained this Shareware ________________________________

Circle GRAPHICS:  EGA  VGA  SVGA      COMPUTER: 286  386  486  586

Floppy Drives: ( ) 3.5" 720K            ( ) 3.5" 1.4M
                           ( ) 5.25" 360K           ( ) 5.25" 1.2M
Other info about your computer system. (memory, software, etc.)

__________________________________________________________________

Comments/Suggestions _____________________________________________

Computer games that interest you _________________________________

Select Software:                     New Order   Version Upgrade *
    Admirals Command for Windows    ( ) $20.00     ( ) $10.00
    Admirals Command for DOS        ( ) $15.00     ( )  $5.00
    Electronic Aggravation for DOS  ( ) $15.00     ( )  $5.00

Amount Enclosed:  $__________ (TN residents MUST add sales tax.)

* Registration no. (required for version upgrades) _______________

  The following methods of payment are accepted:
  1. Check or Money Order in U.S. Dollars drawn on a U.S. Bank.
     Make checks payable to "SimoneSystems Software"
  2. U.S. Dollars Cash (please send Certified mail).
  3. (  ) VISA  or  (  ) MasterCard.

Card No. ________________________ Expiration Date(MM/YY) ____/____

Signature ________________________________________________________
          (necessary for processing credit card orders)

                                 Mail to:  SimoneSystems Software
Allow two weeks for delivery.              3096 Dell Drive
                                           Hermitage, TN 37076 USA
Thank you for registering SimoneSystems Software! --- Ver 1.1c ---