______________________________________________________________________________ I M P U L S E S O F T W A R E SOFTWARE ORDER FORM ______________________________________________________________________________ Impulse Software is committed to bringing you the most enjoyable games available. Take a few minutes to fill out our easy order form and you'll be on your way to more exciting and addictive gaming in no time! You can also print this order form by typing "PRINT ORDERFRM.TXT" at the DOS prompt. Call TOLL-FREE, 24 hours a day: 1-800-6-IMPULSE MAIL orders to: or FAX your order form to: 1-317-247-1009 FOREIGN ORDERS call: 1-317-870-9216 IMPULSE SOFTWARE P.O. BOX 31199 You can now order ON-LINE for instant software! INDIANAPOLIS, IN 46231 Call the Software Creations BBS at 1-508-368-7139 and type "STORE" from the main menu. TITLE UNIT PRICE QTY. PRICE ____________________________________ __________ _____ _________ ENTOMBED .......................................... $39.95 _____ $_________ ENTOMBED CD-ROM VERSION ........................... $59.95 _____ $_________ TUBES ............................................. $19.95 _____ $_________ GOD OF THUNDER .................................... $24.95 _____ $_________ GOD OF THUNDER HINT BOOK, 90 Pages Fully Illus.. $9.95 _____ $_________ ARGO CHECKERS ..................................... $14.95 _____ $_________ FILECLIP .......................................... $17.95 _____ $_________ SQUAREZ DELUXE .................................... $19.95 _____ $_________ HEXXAGON ][ ....................................... $19.95 _____ $_________ NIGHT RAID ........................................ $14.95 _____ $_________ JETPACK ........................................... $19.95 _____ $_________ JETPACK HINT BOOK, 127 Pages Fully Illustrated.. $9.95 _____ $_________ PICTURE PUZZLE DELUXE ............................. $21.95 _____ $_________ (Includes binder, manual, and collection #1) PICTURE PUZZLE .................................... $16.95 _____ $_________ EXTRA PUZZLE COLLECTIONS #1 - #7 COLLECTION NUMBER(S) at $9.95 each:____________________________ $_________ ______________________________________________________________________________ SUB TOTAL $_________ 5% TAX (IN residents only) $_________ SHIPPING/HANDLING in USA $3.00 $_________ SHIPPING/HANDLING outside USA $5.00 $_________ GRAND TOTAL $_________ NAME : ____________________________________________________ ADDRESS: ____________________________________________________ ____________________________________________________ TELEPHONE NUMBER: ____________________________________ DISK SIZE: [ ] 3.5" 1.4M [ ] 3.5" 720K [ ] 5.25" 1.2M PAYMENT: [ ] Check or Money Order (U.S. funds only) [ ] VISA [ ] MASTERCARD Credit Card Orders --> CARD NUMBER: _______ _______ _______ _______ (must complete) EXP. DATE: _______ SIGNATURE: _______________________________ THANK YOU FOR YOUR ORDER! ______________________________________________________________________________