INSTANT REGISTRATION FORM Just copy this file to your printer, fold, tape, and mail or FAX it. See the file BASSMAP.TXT for program descriptions. Quantity Description Price Total +--------+------------------------------+-----+-----+ BassMap v1.3 was | | BassMap | $10 | | acquired from: +--------+------------------------------+-----+-----+ | | SuperFly | $15 | | +--------+------------------------------+-----+-----+ | | "Deluxe" SuperFly | $22 | | [ ] friend +--------+------------------------------+-----+-----+ [ ] free BBS | | Tile Match | $15 | | [ ] pay BBS +--------+------------------------------+-----+-----+ [ ] disk vendor | | "Deluxe" Tile Match | $22 | | [ ] rack in store +--------+------------------------------+-----+-----+ [ ] user group | | Cipher | $15 | | [ ] other (describe) +--------+------------------------------+-----+-----+ | | "Deluxe" Cipher | $22 | | Name of vendor, BBS, +--------+------------------------------+-----+-----+ store, etc.: | | Puzzle Collections; Circle | $5 | | | | ones you want: 1 2 3 4 | each| | _____________________ +--------+------------------------------+-----+-----+ | | Mah Jongg solitaire | $15 | | Mail to: +--------+------------------------------+-----+-----+ Nels Anderson | | "Deluxe" Mah Jongg | $22 | | 585 Edmands Road +--------+------------------------------+-----+-----+ Framingham, MA | | Shooting Gallery | $15 | | 01701 U.S.A. +--------+------------------------------+-----+-----+ FAX: 508-788-1363 | | "Deluxe" Shooting Gallery | $22 | | +--------+------------------------------+-----+-----+ SHIPPING: $2 per | | EGATrek | $15 | | order, except $4 +--------+------------------------------+-----+-----+ for deluxe versions | | "Deluxe" EGATrek | $22 | | or for shipping +--------+------------------------------+-----+-----+ outside of North | | Charge for EACH 3.5" disk | $2 | | America. +--------+------------------------------+-----+-----+ | TOTAL SHIPPING/HANDLING @ $2 OR $4 |$2/$4| | <-----+ +-----+-----+ All prices are in U.S. dollars TOTAL | | Minimum credit card order: $15 +-----+ Make checks payable to: Nels Anderson Circle Disk Size: 5.25" 3.5" (add $2 extra for EACH 3.5" disk ordered) ^^^^ Payment: _____ Check (U.S. funds only) ______ VISA ______ MasterCard Card Number: _______ _______ _______ _______ Expiration Date: ________ Signature: _________________________ (credit card orders must be signed) Name: __________________________________________________________________ Address: _______________________________________________________________ City/State/Zip: ________________________________________________________ Comments, suggestions: BassMap v1.3 +-----+ |Place| |Stamp| |Here!| +-----+ Nels Anderson 585 Edmands Road Framingham, MA 01701-3088