Jem Disc Order Form

          Yes!   I  want  to take  advantage  of  this extraordinary
          offer.   Please send me Jem Disc for the special low price
          of  only  $36.95 plus  shipping,  handling  and applicable
          sales tax.  Thank you for your order!
          _____________________________________________________

          Jem Disc CD-Rom Shareware Compilation         $ 36.95

          Handling & Shipping                           $  5.00

          Alaska, Hawaii, Canada and Mexico add $5.00   $ _____

          Other Foreign orders add $10.00               $ _____

          Arizona residents add sales tax               $ _____
          _____________________________________________________

          Total                                         $ _____

          Enclose check or money order payable to Jewel Distributing
          and allow 4-6 weeks for delivery.

          Customer Information

          Name: ______________________________________________

          Street: ____________________________________________

          City:  _____________  State:  _____ Zip: ___________

          Day Phone:   (   )   -
          Night Phone: (   )   -

          Computer Brand & Model:  ___________________________

          CPU Type:  ____  DOS Version:  ____   Graphics: ____

          CD-Rom Player Brand & Model: _______________________

          If  you are a  BBS Sysop please  complete the following to
          aid us in the development of support products.

          BBS Name: __________________________________________
          BBS Phone (   )   -       FidoNet Node:  ___________
          BBS Software: _____________  Version: ______________
          Modem Brand: ______________  Max Baud: _____________
          CD-Rom Door used (if any): _________________________

          Mail this order form with payment to:
          Jewel Distributing
          4956 E. 3rd Street
          Tucson, AZ 85711