Super Wheel for Windows - Version 2.0
                           Registration Form


Name: ___________________________________________________________________


Address: ________________________________________________________________


City: ___________________________________  State: ________  Zip: ________


Country: ________________________________


Where did you get your copy of Super Wheel: _____________________________


Registration includes software license for one computer plus the 
following Puzzle Paks:

    Mega Womper Puzzle Pak        Sports Puzzle Pak
    Tub-O-Puzzles Puzzle Pak      Computer Phrases Puzzle Pak
    Happy Cool Dude Puzzle Pak    Shareware Puzzle Pak
    Geography Puzzle Pak          Shareware Geography Puzzle Pak

Super Wheel registration  $11        $___________


Shipping  $2 U.S. and Canada         $___________
          $6 elsewhere

                 Total (U.S. Funds)  $___________


Disk size (check one):  ___ 5.25 DS/DD (360 K)
                        ___ 5.25 DS/HD (1.2 MB)
                        ___ 3.5  DS/DD (720 K)
                        ___ 3.5  DS/HD (1.4 MB)


Please make check payable to John Burky.  Thank you!

Send to:  John Burky
          13624 Bandy Road
          Alliance, Ohio 44601