Crossword Express for Windows Order Form ======================================================================== US Registration Agent Pinnacle Solutions Ph: 800-553-4305 or 205-532-1024 (24 hr) Registration Department FAX: 205-883-4305 1001 Cassandra Avenue http://www.puzzledepot.com/cwe/index.shtml Huntsville, AL 35802-3207 Internet Email: pinnacle@iquest.com ======================================================================== Company Office AUS-PC-SOFT Email: johnstev@adelaide.dialix.oz.au Onkaparinga Valley Road Verdun Visit Our Web Site Below For Update News South Australia http://www.puzzledepot.com/cwe/index.shtml 5245 ========================================================Code=CWE33@tpp Please register and send a copy of CROSSWORD EXPRESS to: Name: ______________________________________________________________ Address: ______________________________________________________________ ______________________________________________________________ Zip: _____________ Country: ______________ Phone: ______________ Disk Format: ( ) 3.5" ( ) 5.25" email:_______________________________ Registration Fees (US Funds): Price Quantity Total ------ -------- -------- ( ) Crossword Express Lite $19.95 ________ ________ ( ) Crossword Express Pro $39.95 ________ ________ Prices are in US funds only. Total: ----------------------------------------------------------------- Payment Enclosed: ( ) Check ( ) Money Order ( ) Credit Card Make Checks/Money Orders payable to Pinnacle Solutions or AUS-PC-SOFT Please charge this purchase to my credit card account: ( ) VISA ( ) Mastercard ( ) Bankcard CARD NUMBER: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ EXPIRY DATE: _____/_____ Cardholder Name: ____________________________ Signature: ____________________________________________________________ Credit Card purchases will be debited in AUS currency by AUS-PC-SOFT.